Urgent pulmonary lobectomy for blunt chest trauma: report of three cases without mortality

Chiarelli, Marco; Gerosa, Martino; Guttadauro, Angelo; Gabrielli, Francesco; G, Vertemati; Cazzaniga, M.; Fumagalli, Luca; Simone, Matilde De; Cioffi, Ugo

doi:10.21037/jtd.2016.06.10

Cited by 3 publications

(1 citation statement)

References 15 publications

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“…A total of 180 articles were excluded based on title and abstract. Full text of the remaining 35 (5,(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23) articles (24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41) were evaluated and resulted in exclusion of another 16 articles, because it concerned review or survey articles, case reports, children, or only tracheal or penetrating injuries (5,(8)(9)(10)(11)(12)(17)(18)(19)(20)22,(26)(27)(28)(32)…”

Section: Resultsmentioning

confidence: 99%

Surgical treatment of bronchial rupture in blunt chest trauma: a review of literature

Roozendaal¹,

Gool²,

Sprooten³

et al. 2018

J. Thorac. Dis

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Bronchial rupture by blunt chest trauma is rare. We present a case of bronchial injury after blunt chest trauma that was repaired surgically by primary reconstruction. We performed a review of literature to verify if primary reconstruction is suitable for the treatment of adult patients with blunt bronchial injury. A systematic search was conducted to identify cohort studies of bronchial rupture after blunt chest trauma in adult patients between 1985 and 2016 (n=215 articles). Studies were included concerning four or more patients and in case patient data could be extracted. This resulted in 19 articles for final review, consisting of 155 patients. Mean age of 155 patients was 28 (range, 18-60) years. The main bronchus was mostly injured (81%), in 5% including an injury of the trachea and in 14% lobar bronchi injury. Surgical repair was performed in 95% of patients: primary anastomosis in 72%, pneumonectomy in 15%, lobectomy or sleeve resection in 12% and other in 1%. Perioperative mortality rate was 10%. Other complications occurred in 17% (empyema, rebleeding, stenosis and fistula, among others). Data concerning the occurrence of longterm complications or long-term follow-up was not found. Statistical evaluation could not be performed due to lack of consistent patient data. No strong recommendations regarding type and timing of surgery can be made based on the available literature. Based on our multidisciplinary opinion we would advocate primary anastomosis in case of stable vital signs with the goal to preserve healthy lung parenchyma. Moreover, it may be considered transferring these rare cases to an experienced thoracic and trauma surgery center.

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Section: Resultsmentioning

confidence: 99%

Surgical treatment of bronchial rupture in blunt chest trauma: a review of literature

Roozendaal¹,

Gool²,

Sprooten³

et al. 2018

J. Thorac. Dis

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The features of diagnosis and treatment of traumatic and non-traumatic pulmonary bleeding

Danielyan

Abakumov

Тарабрин

et al. 2017

Khir. Z. im. N.I. Pirogova

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Spontaneous Pulmonary Hematoma: Case Report of a Giant Post-COVID-19 Hematoma and Literature Review

et al. 2023

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Pulmonary hematomas are a rare pathology. Although they are usually reported post-traumatically, there are also spontaneous forms in pulmonary pathologies or during drug therapy. In these spontaneous entities, primitive forms are rarely described, although the contributory local pulmonary pathological terrain or a specific associated medication has not yet been identified. We present the case of a patient who developed a giant pulmonary hematoma that appeared spontaneously during recovery from COVID-19 infection. It appeared in one of the two bullae-like cystic lung lesions developed during secondary COVID-19 infection. The clinical impact was major, with hypotension and anemia being observed, requiring hemodynamic support and the adjustment of drug therapy. The clinical course was favorable, with a quasi-complete resolution of both the hematoma and a second cystic lesion being observable at 8 months by pulmonary remodeling. Spontaneous pulmonary hematomas may constitute a pathological entity associated with a post-COVID-19 remodeling process of the lung and the related anticoagulant treatment, which should be recognized, especially in the actual COVID-19 pandemic or in the widespread use of anticoagulant treatment. Conservative treatment is the method of choice, even in giant lung forms.

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Urgent pulmonary lobectomy for blunt chest trauma: report of three cases without mortality

Cited by 3 publications

References 15 publications

Surgical treatment of bronchial rupture in blunt chest trauma: a review of literature

Surgical treatment of bronchial rupture in blunt chest trauma: a review of literature

The features of diagnosis and treatment of traumatic and non-traumatic pulmonary bleeding

Spontaneous Pulmonary Hematoma: Case Report of a Giant Post-COVID-19 Hematoma and Literature Review

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