Surgical treatment of delayed partial bronchial rupture under venovenous extracorporeal membrane oxygenation support: a case report

• DOI: 10.1186/s13019-025-03363-4
• Publication Date: 2025-02-15T09:18:51Z
• Authors: Li Zhenghan; Chen Yuan; Luo Yuan
• Keywords: Cardiothoracic surgery; Rescue therapy

Chest trauma may precipitate a spectrum of injuries, among which tracheal laceration represents an uncommon but critical sequela. The occurrence could significantly impair respiratory and cardiovascular homeostasis, thereby posing life-threatening risk to the patient. Expeditious surgical intervention is paramount for therapeutic management, in certain instances, administration venovenous extracorporeal membrane oxygenation (VV ECMO) be necessitated support patient's function. This case report discusses management delayed partial bronchial rupture following thoracic trauma, supported by VV ECMO. patient, who sustained multiple rib fractures, hemopneumothorax, scapular fractures due motor vehicle accident, developed progressive dyspnea one month post-trauma. Imaging revealed right lung atelectasis pleural effusion, necessitating emergency surgery. ECMO was used stabilize oxygenation, allowing successful main bronchus resection anastomosis. Intraoperative bronchoscopy played crucial role identifying site ensuring effective patient recovered well, with no significant complications at follow-up. highlights importance timely rupture, utility support, managing airway injuries. It underscores that though rare, requires prompt recognition treatment prevent complications.