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Eur J Cardiothorac Surg 2002;21:84
© 2002 Elsevier Science NL

Images in cardio-thoracic surgery

A right bronchial rupture

Jacques Jougon*, Frédéric Delcambre, Tarun MacBride, Jean-François Velly

Department of Thoracic Surgery, Haut-Lévèque Hospital, Bordeaux University Hospital, Pr JF Velly 33604 Pessac, France

Received 20 September 2001; received in revised form 8 October 2001; accepted 10 October 2001.

* Corresponding author. Tel.: +33-556-555009; fax: +33-556-555021
e-mail: jacques.jougon{at}chu-bordeaux.fr

A 20-year-old woman victim of a traffic injury presented with dyspnea and subcutaneous emphysema. A rupture of the right main bronchus was found (Figs. 1 and 2). After drainage of the left pneumothorax, tracheal re-implantation of the main bronchus was successfully performed through a right thoracotomy and left lung ventilation.



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  		Fig. 1. A 5-mm axial computed tomography section obtained at the level of the carena, portrays a rupture (see arrow) of the origin of the right main bronchus, an extensive bilateral pneumothorax and pneumomedistinum. In the corner the corresponding chest X-ray.

 


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  		Fig. 2. Coronal 2D reconstruction obtained from axial data set displays the ruptured right main bronchus (arrow).

 



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P. T Mihos, K. Potaris, I. Gakidis, P. M Myrianthefs, and G. J Baltopoulos
Clear-Cut Complete Rupture of Origin of Right Main Bronchus
Asian Cardiovasc Thorac Ann, February 1, 2008; 16(1): 65 - 67.
[Abstract] [Full Text] [PDF]

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