Successful treatment of a combined bronchial and aortic trauma

Tracheobronchial injury is an uncommon but severe complication of blunt thoracic trauma. In this study, we present a patient who developed complete avulsion of the left main bronchus with a vertical rupture toward the carina accompanying a contained rupture of the descending aorta after being run over by a van. We performed a left upper lobectomy and reimplantation of the lower lobe to the left main bronchus. Subsequently, an endovascular stent was placed to cover the pseudoaneurysm. The patient was discharged on day nine after an uneventful postoperative course. Tracheobronchial trauma complicated with concomitant major injuries apparently requires a rapid and challenging multidisciplinary approach in a well-developed and experienced trauma centre for a successful treatment.

Bronþ ve aortun müþterek yaralanmasýnýn baþarýlý tedavisi

rakeobronþiyal yaralanmalar künt göðüs travmalarýnýn nadir ancak ciddi komplikasyonudur. Yazýmýzda kamyonet tarafýndan ezilme sonucu karinaya doðru vertikal rüptürle beraber sol ana bronþu tamamen kopan ve inen aortasýnda kendini sýnýrlamýþ rüptür geliþen hastayý sunmaktayýz. Hastaya sol üst lobektomi ve alt lobun sol ana bronþa tekrar takýlmasý ameliyatýný uyguladýk. Bunu takiben aortadaki psödoanevrizmayý kapsayacak þekilde damar içi stent yerleþtirildi. Hasta ameliyat sonrasý sorun yaþanmadan dokuzuncu günde taburcu edildi. Yandaþ büyük yaralanmalarla komplike olmuþ trakeobronþiyal travmalarýn baþarýlý tedavisi geliþmiþ ve tecrübeli travma merkezlerinde hýzlý ve mücadeleci multidisipliner yaklaþým gerektirmektedir.