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Repair of traumatic avulsion of the right bronchus in children using extracorporeal membrane oxygenation support

Gabriella Ricciardi1, Léon M Putman1, Mark G Hazekamp1

  • 1Department of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, Netherlands.

Interactive Cardiovascular and Thoracic Surgery
|December 28, 2020
PubMed

Insights

Traumatic bronchial avulsion in children, often from accidents, requires urgent surgical repair. Extracorporeal membrane oxygenation (ECMO) aided successful suture repair in two pediatric cases.

Area of Science:

  • Pediatric Surgery
  • Thoracic Trauma
  • Critical Care Medicine

Background:

  • Traumatic avulsion of the right main bronchus is a rare but life-threatening injury in children, typically resulting from blunt force trauma or traffic accidents.
  • Prompt surgical intervention is crucial for survival, with primary suture repair being the standard treatment approach.

Purpose of the Study:

  • To report the successful surgical management of two pediatric cases involving traumatic avulsion of the right main bronchus.
  • To highlight the utility of extracorporeal membrane oxygenation (ECMO) as an adjunct in managing these critical injuries.

Main Methods:

  • Case series review of two pediatric patients with traumatic bronchial avulsion.
  • Surgical repair utilizing primary suturing techniques.
  • Perioperative support with extracorporeal membrane oxygenation (ECMO).

Main Results:

  • Both pediatric patients with traumatic right main bronchus avulsion underwent successful primary suture repair.
  • The use of extracorporeal membrane oxygenation (ECMO) facilitated successful surgical outcomes in both cases, supporting cardiopulmonary function during repair.

Conclusions:

  • Traumatic avulsion of the right main bronchus in children is a severe injury necessitating urgent surgical repair.
  • Extracorporeal membrane oxygenation (ECMO) can be a valuable tool in managing these complex pediatric thoracic emergencies, improving surgical success rates.

Keywords:
Bronchial avulsionExtracorporeal membrane oxygenationTrauma

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