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[Injury to the right A. pulmonalis due to blunt thoracic trauma]
M I Amir1, J M Klaase, R H Geelkerken
1Medisch Spectrum Twente, afd. Chirurgie, Postbus 50.000, 7500 KA Enschede.
Abstract:
Immediately after a moped accident a 16-year old patient was haemodynamically unstable. Following adequate drainage of a haematopneumothorax in the hospital the patient collapsed into a shock. Thoractomy revealed a tear of the right A. pulmonalis. The hilus was clamped and a lobectomy was performed. After this the patient was haemodynamically stable; due to bone and nerve damage he was transferred to a rehabilitation centre. Laceration of the A. pulmonalis as a consequence of blunt thoracic trauma is rare and mostly fatal. In the case of a patient with a massive haematothorax rapid transport to the nearest hospital is preferable to thorax drainage at the site of the accident.