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Left bronchial disruption and aortic rupture after blunt chest trauma
O Baron1, D Galetta, J C Roussel
1Thoracic and Cardiovascular Surgery Department, Laënnec Hospital, Boulevard J Monnod, 44093 Nantes Cedex, France. olivier.baron@chu-nantes.fr
The Thoracic and Cardiovascular Surgeon
|December 18, 2001
Abstract:
A 25-year-old male who had been involved in a traffic accident presented with a neurological disorder, bilateral pneumothoraces, and pneumomediastinum. Bronchoscopy revealed a complex rupture of the left bronchial tract. MRI revealed a sinus valsalva aneurysm. The bronchial lesion was first repaired via left thoracotomy. 10 days later, the aorta was repaired via sternotomy. In cases of combined bronchial and aortic lesion, a concomitant repair is not mandatory, at least when the aortic lesion appears limited and shows no signs of dissection.