Related Experiment Video
Updated: Aug 17, 2026

A Model of Self-limited Acute Lung Injury by Unilateral Intra-bronchial Acid Instillation
Published on: August 30, 2019
Combined subclavian artery rupture and delayed bronchial stenosis from blunt chest trauma
S S Tsui1, S W Kendall, F C Wells
1Department of Thoracic and Cardiovascular Surgery, Papworth Hospital, Cambridge, UK.
Abstract:
A 23-year-old man suffered crush injury to the thorax resulting in rupture of the left subclavian artery and left main bronchus. The arterial injury was diagnosed immediately and successfully repaired. Despite the presence of bilateral pneumothoraces and mediastinal and chest wall emphysema the bronchial injury was not initially diagnosed because both lungs re-expanded with tube thoracostomies. The patient re-presented 5 weeks later with complete atelectasis of the left lung. Bronchoscopy revealed a fibrotic stenosis of the left main bronchus. The stenosed segment was completely excised and the cut ends anastomosed with full re-inflation of the lung.
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Flail Chest-I
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
Pneumothorax-I
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax-II
Clinical Manifestations:
Aneurysm II: Clinical Manifestations and Diagnostic Studies
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