Extensive linear "blow-out" of the thoracic membranes trachea with innominate artery avulsion secondary to blunt chest trauma.

The successful management of extensive rupture of the entire intrathoracic membranous trachea and an avulsed innominate artery is presented. Taken separately, the two entities are in themselves rare following blunt trauma to the chest. Ventilatory and anesthetic control during repair of this injury is presented.