The Thoracic and cardiovascular surgeon
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Thorac Cardiovasc Surg · Aug 2001
Case ReportsBronchial repair with pulmonary preservation for severe blunt trauma.
After a motorcycle accident, a 22-year-old male was diagnosed with multiple rib fractures, left-sided tension pneumothorax, hemothorax and left upper lobe bronchus rupture at its origin. An emergency left thoracotomy revealed an almost complete avulsion of the upper lobe bronchus from the main stem bronchus, a severely damaged pulmonary artery, and a concurrent deep intraparenchymal lower lobe laceration. ⋯ In the event of complex pulmonary trauma, pulmonary preservation is desirable since emergency pneumonectomy is usually associated with high mortality. Early bronchoscopic assessment, careful anesthetic management, and meticulous surgical technique with liberal use of fibrin glue were crucial to successful outcome.
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Thorac Cardiovasc Surg · Aug 2001
Historical ArticleThe history of coronary artery surgery -- a brief review.