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Article
Oct. 1, 1958

Rupture of the Main Bronchi in Closed Chest InjuryA Reproduction of the Injury in the Experimental Animal; Discussion of the Possible Mechanisms Involved

Author Affiliations

Columbus, Ohio

Department of Surgery and Division of Thoracic Surgery, Ohio State University Medical Center, and White Cross Hospital.

Instructor in Surgery, the Ohio State University Medical Center, and Chief Resident, Division of Pediatric Surgery, Children's Hospital (Dr. Lloyd). Assistant Professor of Clinical Surgery, Division of Thoracic Surgery, the Ohio State University Medical Center, and Senior Attending Surgeon, White Cross Hospital (Dr. Heydinger). Professor of Surgery and Chief, Division of Thoracic Surgery, the Ohio State University Medical Center (Dr. Klassen). Assistant Professor of Clinical Surgery, the Ohio State University Medical Center and Senior Attending Surgeon, White Cross Hospital (Dr. Roettig).

AMA Arch Surg. 1958;77(4):597-605. doi:10.1001/archsurg.1958.04370010129012
Abstract

Five patients with rupture of the bronchi in closed chest injury have been treated at the Ohio State University Medical Center since October, 1955. All five patients had been involved in automobile accidents, and the trauma in each case was the result of a steering wheel injury (Fig. 1).

Clinical Study  Case 1.—A 19-year-old white youth sustained a tear of the right intermediate and middle-lobe bronchus. The lesion was repaired 18 hours after trauma by primary suture, resulting in an uneventful recovery.Case 2.—A 16-year-old white youth suffered a complete severance of the left main bronchus, which was successfully repaired by resection of the injured segment and end-to-end anastomosis 16 days after trauma.Case 3.—A 21-year-old white woman sustained a bilateral avulsion of the bronchi, with disruption of the carina. This lesion was successfully repaired by performing a left pneumonectomy, reconstruction of the distal portion of the trachea, and an

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