Successful Management of Delayed Left Main Bronchus Rupture with End-to-End Anastomosis.

BACKGROUND

Central airway injuries resulting from blunt trauma are infrequent but potentially fatal. Main bronchial ruptures, if not promptly diagnosed, can lead to complete airway obstructions and functional pneumonectomies due to fibrosis and granulation. Regardless of the timing of the rupture, successful bronchial reconstruction and end-to-end anastomosis can restore lung function in these cases.

CASE REPORT: We present the case of a 23-year-old patient involved in a high-energy traffic accident 45 days prior, who was also eight weeks pregnant at the time. The patient underwent a functional left pneumonectomy due to a delayed left main bronchus rupture. On the 45th day post-accident, the patient's lung functionality was successfully restored through surgical intervention, utilizing left main bronchus reconstruction and end-to-end anastomosis.

CONCLUSION

Patients with delayed bronchial ruptures can achieve a curative and complete treatment through end-to-end anastomosis. Thus, it is imperative for experienced surgical teams in large medical centers to perform such treatments.