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Traumatic Tracheal Tear Successfully Treated After Remote Area Retrieval

Cardiothoracic Unit Townsville General Hospital Townsville, Queensland, Australia

For reprint information contact: Santiago A Endara, MD Tel: 61 7 4781 9511 Fax: 61 7 4781 9215 email: endaras{at}health.qld.gov.au Cardiothoracic Unit, Townsville General Hospital, Eyre Street, North Ward, Townsville, Queensland 4810, Australia.

A 44-year-old man injured in a motor vehicle accident in rural Australia was resuscitated at a local hospital 9 hours later. Bronchoscopy revealed a large tracheal tear. After transfer to the regional cardiothoracic center, surgery was performed under cardiopulmonary bypass 18 hours after the injury was sustained. The patient required surgical tracheostomy as well as ventilatory and inotropic support. There were no postoperative complications and he was discharged after 27 days.