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Right main bronchus rupture from blunt chest trauma in a child

Faouzi Alimi1, Hazem Alijla2, Asma Neily2

  • 1Thoracic and Cardiovascular Surgery Department, Sahloul University Hospital, Sousse, Tunisia faouzialimi@gmail.com.

Asian Cardiovascular & Thoracic Annals
|June 15, 2016
PubMed

Insights

A 6-year-old boy experienced right main bronchus avulsion from blunt chest trauma. Surgical reimplantation at the carina yielded positive long-term outcomes, restoring both form and function.

Area of Science:

  • Pediatric Surgery
  • Thoracic Trauma
  • Bronchial Injuries

Background:

  • Blunt chest trauma can cause severe airway injuries.
  • Right main bronchus avulsion is a rare but critical complication.
  • Prompt surgical intervention is crucial for survival and recovery.

Observation:

  • A 6-year-old male presented with right main bronchus avulsion following blunt chest trauma.
  • The injury involved a complete separation of the right main bronchus.
  • Diagnostic imaging confirmed the extent of the bronchial disruption.

Findings:

  • Successful surgical reimplantation of the right main bronchus to the carina was performed.
  • The procedure utilized a right posterolateral thoracotomy approach.
  • Postoperative assessment revealed satisfactory long-term morphological and functional recovery.

Implications:

  • This case highlights the feasibility of surgical repair for bronchial avulsion in children.
  • Successful reimplantation can lead to excellent long-term respiratory function.
  • It underscores the importance of timely diagnosis and surgical management in pediatric thoracic trauma.

Keywords:
AnastomosisBronchiReconstructive surgical proceduresRuptureThoracic injuriesWoundsnonpenetratingsurgical

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