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Asian Cardiovasc Thorac Ann 2008;16:268
© 2008 Asia Publishing EXchange Ltd

IMAGES IN CARDIOTHORACIC MEDICINE AND SURGERY

Tracheal Rupture in A Spontaneous Breathing Patient after A Blunt Chest Trauma

Karsten Knobloch, MD, Andre Simon, MD1, Axel Haverich, PhD1

Plastic, Hand and Reconstructive Surgery
1 Cardiothoracic and Vascular Surgery, Hannover Medical School, Hannover, Germany

For reprint information contact: Karsten Knobloch, MD, Tel: 49 511 532 8864, Fax: 49 511 532 8890, Email: kknobi{at}yahoo.com, Plastic, Hand and Reconstructive Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, Hannover 30625, Germany.

A 38-year-old patient suffered a blunt penetrating thoracic trauma to his right upper chest during work with air leakage (Figure 1Go). Intubation resolved the air leakage. Surgical exploration revealed a 2-cm2 tracheal rupture at the anterior region, which was sutured. Extubation and bronchoscopy were performed after 14 hours with uneventful recovery.


Figure 1
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  		Figure 1. Pneumomediastinum and anterior tracheal rupture in a ventilated patient with evident air leakage following a blunt penetrating chest trauma in a hemodynamically stable, otherwise healthy patient demonstrated by computertomography.

 





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