Case of surgical treatment of rupture of the main right bronchus
https://doi.org/10.34215/1609-1175-2021-1-98-100
Abstract
Combination of traumas is still socially-significant problem in our country. The lethality rate from rupture of the main bronchus reaches 50 %. The main method of treatment of the traumatic damages of the respiratory tract is surgical. The best results are achieved during early interventions. However diagnostics of the rupture of the main bronchus is hard because of the severity of the patient's condition and the existence of polytraumas. If the rupture isn't defined on time, it can lead to the formation of bronchostenosis or its overall occlusion and loss of the organ. Clinical observation of the surgical treatment of the rupture of the main right bronchus is shown for the patient 34 years old 3 months after trauma. The reconstruction of the airway patency was made by reimplanting of the main bronchus into trachea. Full recovery of the bronchus functioning was noticed in a year after operation.
About the Authors
S. A. BelovRussian Federation
Sergey A. Belov, MD, PhD, Medical Center, Far Eastern.
690950, Vladivostok, Russky Island, Ajax settlement, 10, build. No. 25
N. A. Pimenov
Russian Federation
Nikolay A. Pimenov, MD, Medical Center
690950, Vladivostok, Russky Island, Ajax settlement, 10, build. No. 25
A. S. Shapovalov
Russian Federation
Aleksey S. Shapovalov, MD, Medical Center.
690950, Vladivostok, Russky Island, Ajax settlement, 10, build. No. 25
References
1. Sushko AA, Kul SA, Mozheiko MA, Mogilevets EV, Oleinik AO, Gavron IV, Dossko DV. Modern aspects of diagnosis and tactics of surgical treatment of complicated chest injury. Journal of the Grodno State Medical University. 2019;17(4):463-7 (In Russ).
2. Tulupov AN, Manukovsky VA, Savello VE, Safoev MT, Babich AI. Rupture of bifurcation of the trachea in severe closed chest injury. Herald of Surgery named after I.I. Grekov. 2018;144(2):74-7 (In Russ).
3. Wagner EA, Perelman AP, Kuzmichev AP, Firsov VD, Sedova TN. Bronchial ruptures. Perm: Perm Book Publishing House; 1985 (In Russ).
4. van Roozendaal LM, van Gool MH, Sprooten RTM, Maesen BAE, Poeze M, Hulsewe KWE, et al. Surgical treatment of bronchial rupture in blunt chest trauma: A review of literature. J Thorac Dis. 2018;10(9):5576-83.
5. Bagheri R, Afghani R, Haghi SZ, Fattahi Masoum SH, Sadrizadeh A. Outcome of repair of bronchial injury in 10 patients with blunt chest trauma. Asian Cardiovasc Thorac Ann. 2015;23(2):180-4.
6. Tamura M, Oda M, Matsumoto I, Fujimori H, Shimizu Y, Watanabe G. Double-barrel reconstruction for complex bronchial disruption due to blunt thoracic trauma. Ann Thorac Surg. 2009; 88(6):2008-10.
7. Wiese MN, Kawel-Boehm N, de la Santa PM, Al-Shahrabani F, Toffel M, Rosenthal R, et al. Functional results afterchest wall stabilization with a new screwless fixation device. Eur J Cardio-thoracic Surg. 2015;47(5):868-975.
8. Dasa O, Siddiqui N, Ruzieh M, Javaid T. Endobronchial cartilage rupture: A rare cause of lobar collapse. Case Rep Pulmonol. 2016. doi: 10.1155/2016/8178129
9. Mironov AV, Lanielyan SN, Gasanov AM, Rabadanov KM, Makarov AV. Successful conservative treatment of rupture the right main and intermediate bronchus in a patient with severe closed chest trauma. Endoscopic surgery. 2016;22(1):69-73 (In Russ).
10. Chereshnev VA, Palatova LF, Nechaev OI. Breast injury in academic school of academician EA Wagner. Bulletin of the Ural medical academic science. 2017;14(1):95-103 (In Russ).
Review
For citations:
Belov S.A., Pimenov N.A., Shapovalov A.S. Case of surgical treatment of rupture of the main right bronchus. Pacific Medical Journal. 2021;(1):98-100. (In Russ.) https://doi.org/10.34215/1609-1175-2021-1-98-100