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Eur J Cardiothorac Surg 2006;30:945-947
© 2006 Elsevier Science NL

Case reports

Blunt tracheal transection and long tear in posterior membranous trachea

^a Department of General Thoracic Surgery, Shizuoka General Hospital, Shizuoka, Japan
^b Department of Cardiovascular Surgery, Shizuoka General Hospital, Shizuoka, Japan

Received 23 May 2006; received in revised form 26 August 2006; accepted 1 September 2006.

^_* Corresponding author. Address: Department of General Thoracic Surgery, Shizuoka General Hospital, 4-27-1 Kita-ando, Aoi-ku, Shizuoka City 420-8527, Japan. Tel.: +81 54 247 6111; fax: +81 54 247 6140. (Email: hishiba{at}kf6.so-net.ne.jp).

Blunt tracheobronchial injuries are rare, but can be life-threatening. A precise preoperative diagnosis and a well-recognised plan of surgical treatment, which may be unique for each patient, are needed to restore the continuity of tracheobronchial tree in a one-stage intervention. We encountered a patient with complete tracheal transection and 15 cm tear in the posterior membranous trachea and right bronchus, and whose tracheal injury was difficult to repair using direct intubation of distal airway by bronchoscopy. We achieved a good result of one-stage repair using a percutaneous cardiopulmonary support (PCPS).

Key Words: Tracheal injury • Blunt trauma