Traumatic Bronchus Avulsion Managed With Extracorporeal Membrane Oxygenation, Pneumonectomy, and Rib Fixation.

The mortality of injuries sustained from blunt thoracic trauma (TT) is significantly higher than the mortality of penetrating injuries, and decisions made during the first hour of hospitalization play a critical role in determining outcomes. Patient survival depends on the effective management of injuries that result in the disruption of respiration, circulation, or both. Presented is a case of a 44-year-old female who survived a traumatic avulsion of the right lung from the bronchus intermedius, subsequent multifactorial shock, and complications associated with her complex treatment plan, including emergent use of extracorporeal membrane oxygenation (ECMO), completion pneumonectomy, and rib fixation.