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Delayed presentation and surgical management of a bronchial tear
R K Dewan1, Alok Kumar Mishra, Vijay Kumar Lewate
1Departments of Thoracic Surgery, Anesthesiology and TB and Chest Diseases, Lala Ram Sarup Institute of Tuberculosis and Respiratory Diseases, Sri Aurobindo Marg, New Delhi, India.
Abstract:
Tracheobronchial injuries following blunt trauma to the chest can be life-threatening. However, failure to diagnose can lead to various acute or chronic complications. A delayed presentation is quite rare and its surgical correction is highly challenging. We present here two cases, which came to us after four and six months of trauma respectively. In these patients, successful surgical repair of totally obstructed right main bronchus in the first case and left main bronchus in the other was carried out. The post-operative course was uneventful with improvement in the respiratory status of both the patients. High degree of suspicion and awareness of the possibility of bronchial tear are required for proper management of such cases.