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J Thorac Cardiovasc Surg 2007;133:827-828
© 2007 The American Association for Thoracic Surgery

Brief Communication

Tracheal injury during pneumonectomy: Semi-conservative treatment

^a Thoracic Surgery Department, University Federico II, Naples, Italy
^b Cardiac Surgery Department, University Federico II, Naples, Italy.

Received for publication August 22, 2006; accepted for publication October 23, 2006.

^_* Address for reprints: Salvatore Griffo, MD, Via Bausan, 1, 80121 Naples, Italy. (Email: sal.griffo@libero.it).

The first 20% of the full text of this article appears below.

Tracheobronchial laceration (TBL) is a serious lesion usually occurring during endotracheal intubation and frequently involving the pars membranacea. Treatment can be conservative for small lesions and when the patient’s condition is stable, or surgical for bigger lesions and when pneumomediastinum and/or subcutaneous emphysema threaten the patient’s life.^1,2

We hereby describe a case of right-sided TBL in a patient undergoing left pneumonectomy in which a semi-conservative treatment was accomplished.

Clinical Summary

A 54-year-old, 156-cm tall male patient was admitted to our hospital with a diagnosis of squamous cancer of the left lung. The tumor was clinically staged as T2 N0 M0. General anesthesia was induced, and the patient was easily intubated with an endotracheal double-lumen tube. With the patient in the right lateral decubitus position, through a lateral thoracotomy in the left fifth intercostal space, a left pneumonectomy was carried out. The left bronchus was doubly closed with mechanical and manual sutures and a drain was inserted. During the operation, the anesthesiologist did not report . . . [Full Text of this Article]

This article has been cited by other articles:

				M. Conti, H. Porte, and A. Wurtz Conservative management of postintubation tracheobronchial ruptures J. Thorac. Cardiovasc. Surg., September 1, 2007; 134(3): 821 - 822. [Full Text] [PDF]

				S. Griffo, P. Stassano, and L. Di Tommaso Reply to the Editor J. Thorac. Cardiovasc. Surg., September 1, 2007; 134(3): 822 - 822. [Full Text] [PDF]