Video-Assisted Minithoracotomy for Pulmonary Laceration with a Massive Hemothorax
Joint Authors
Matsuo, Tsubasa
Togashi, Shuntaro
Ota, Hideki
Kawai, Hideki
Source
Case Reports in Emergency Medicine
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-03-13
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Severe intrathoracic hemorrhage from pulmonary parenchyma is the most serious complication of pulmonary laceration after blunt trauma requiring immediate surgical hemostasis through open thoracotomy.
The safety and efficacy of video-assisted thoracoscopic surgery (VATS) techniques for this life-threatening condition have not been fully evaluated yet.
We report a case of pulmonary laceration with a massive hemothorax after blunt trauma successfully treated using a combination of muscle-sparing minithoracotomy with VATS techniques (video-assisted minithoracotomy).
A 22-year-old man was transferred to our department after a falling accident.
A diagnosis of right-sided pneumothorax was made on physical examination and urgent chest decompression was performed with a tube thoracostomy.
Chest computed tomographic scan revealed pulmonary laceration with hematoma in the right lung.
The pulmonary hematoma extending along segmental pulmonary artery in the helium of the middle lobe ruptured suddenly into the thoracic cavity, resulting in hemorrhagic shock on the fourth day after admission.
Emergency right middle lobectomy was performed through video-assisted minithoracotomy.
We used two cotton dissectors as a chopstick for achieving compression hemostasis during surgery.
The patient recovered satisfactorily.
Video-assisted minithoracotomy can be an alternative approach for the treatment of pulmonary lacerations with a massive hemothorax in hemodynamically unstable patients.
American Psychological Association (APA)
Ota, Hideki& Kawai, Hideki& Togashi, Shuntaro& Matsuo, Tsubasa. 2014. Video-Assisted Minithoracotomy for Pulmonary Laceration with a Massive Hemothorax. Case Reports in Emergency Medicine،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-472904
Modern Language Association (MLA)
Ota, Hideki…[et al.]. Video-Assisted Minithoracotomy for Pulmonary Laceration with a Massive Hemothorax. Case Reports in Emergency Medicine No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-472904
American Medical Association (AMA)
Ota, Hideki& Kawai, Hideki& Togashi, Shuntaro& Matsuo, Tsubasa. Video-Assisted Minithoracotomy for Pulmonary Laceration with a Massive Hemothorax. Case Reports in Emergency Medicine. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-472904
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-472904