Citation

Chaudhry I, Aldulaijan FW, Alhajji Z, Cheema A, Mutairi H. Ann. Thorac. Surg. 2016; 101(2): 766-769.

Affiliation

Division of Thoracic Surgery, King Fahad Specialist Hospital, Dammam, Saudi Arabia.

Copyright

(Copyright © 2016, Society of Thoracic Surgeons, Publisher Elsevier Publishing)

DOI

10.1016/j.athoracsur.2015.04.101

PMID

26777938

Abstract

Tracheal injury after blunt chest trauma is a rare but life-threatening condition. If diagnosed and treated early, the outcome is excellent. We report a case of an 18-year-old man who sustained a fracture of the right femur in a traffic accident. He underwent operation under spinal anesthesia and was discharged home after 2 weeks. Six weeks later, he was readmitted with acute respiratory distress, stridor, and drowsiness. Arterial blood gas analysis showed hypercarbia (Pco2 of 80 mm Hg; Po2 of 60 mm Hg). He was intubated with difficulty and ventilated. A computed tomographic (CT) scan of the chest showed a very tight supracarinal tracheal stricture. Emergency surgical resection of the tracheal stricture was performed, and an end-to-end anastomosis was fashioned. The patient had an excellent recovery.

Language: en