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September 1969

Traumatic Rupture of Left Main Stem Bronchus: Successful Repair Three Months After Injury

Author Affiliations

Baghdad, Iraq
From the Thoracic and Cardiovascular Unit, Department of Surgery, University of Baghdad, Baghdad, Iraq.

Arch Surg. 1969;99(3):346-348. doi:10.1001/archsurg.1969.01340150054009

Rupture of a bronchus is now a well recognized complication of severe chest trauma. The incidence of this complication has increased in the last 20 years mainly due to increased car accidents.1 Kinsella and Johnsrud2 in 1947 reviewed the world literature on this subject and collected 40 cases, none of which was treated by restoration of continuity. Griffiths3 in 1949 was the first to report a successful repair of a torn bronchus by end-to-end anastomosis. Since then a number of reports of primary repaired avulsed bronchus have been published.4-9 The most notable was that of Samson,10 who restored the continuity of a divided bronchus 15 years after the injury. Hood and Sloan11 were able to collect 98 cases including seven of their own. This increased incidence reflects not just a simple increase, but also that the thoracic surgeons are more aware of this complication.