Pulmonary artery disruption from blunt thoracic trauma

M. L. Hawkins, R. P. Carraway, S. E. Ross, R. C. Johnson, E. C. Tyndal, H. L. Laws

Research output: Contribution to journalReview article

15 Citations (Scopus)

Abstract

Blunt chest trauma occurs in up to 50 per cent of all fatal motor vehicle accidents and is the primary cause of death in 12-25 per cent; yet only 15 per cent of patients with chest trauma arriving alive to the emergency department require early thoracotomy. Pulmonary artery disruption from blunt trauma is extremely rare. Two patients both women, older and obese with multiple rib fractures and little pulmonary parenchymal damage are reported. Neither had injury to the aorta, heart or intra-abdominal organs. One patient survived after lateral repair of the left main pulmonary artery and the other exsanguinated from a laceration of the right main pulmonary artery. Intrapericardial exposure of the proximal arteries may be necessary for control of hemorrhage. Trauma surgeons should be familiar with this technique. Indications for immediate thoracotomy should include: massive hemothorax (greater than 1000 ml), continued bleeding greater than 300 ml in the first hour, bleeding greater than 200 ml/hr for 5 hours, or increasing hemothorax in spite of tube thoracostomy. Close adherence to these guidelines would have allowed both patients to be explored earlier.

Original languageEnglish (US)
Pages (from-to)148-152
Number of pages5
JournalAmerican Surgeon
Volume54
Issue number3
StatePublished - Jan 1 1988

Fingerprint

Pulmonary Artery
Thorax
Wounds and Injuries
Hemothorax
Thoracotomy
Hemorrhage
Thoracostomy
Rib Fractures
Guideline Adherence
Lacerations
Motor Vehicles
Accidents
Aorta
Hospital Emergency Service
Cause of Death
Arteries
Lung

ASJC Scopus subject areas

  • Surgery

Cite this

Hawkins, M. L., Carraway, R. P., Ross, S. E., Johnson, R. C., Tyndal, E. C., & Laws, H. L. (1988). Pulmonary artery disruption from blunt thoracic trauma. American Surgeon, 54(3), 148-152.

Pulmonary artery disruption from blunt thoracic trauma. / Hawkins, M. L.; Carraway, R. P.; Ross, S. E.; Johnson, R. C.; Tyndal, E. C.; Laws, H. L.

In: American Surgeon, Vol. 54, No. 3, 01.01.1988, p. 148-152.

Research output: Contribution to journalReview article

Hawkins, ML, Carraway, RP, Ross, SE, Johnson, RC, Tyndal, EC & Laws, HL 1988, 'Pulmonary artery disruption from blunt thoracic trauma', American Surgeon, vol. 54, no. 3, pp. 148-152.
Hawkins ML, Carraway RP, Ross SE, Johnson RC, Tyndal EC, Laws HL. Pulmonary artery disruption from blunt thoracic trauma. American Surgeon. 1988 Jan 1;54(3):148-152.
Hawkins, M. L. ; Carraway, R. P. ; Ross, S. E. ; Johnson, R. C. ; Tyndal, E. C. ; Laws, H. L. / Pulmonary artery disruption from blunt thoracic trauma. In: American Surgeon. 1988 ; Vol. 54, No. 3. pp. 148-152.
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