Caso Clínico/Clinical Case
Fractura brônquica: Tratamento broncoscópico com colocação de prótese e broncoplastia com balão
Bronchial fracture: Bronchoscopy management with bronchial stent and balloon bronchoplasty
Daniela Ferreira1,*, Ricardo Lima1, Ana Oliveira2, Sofia Neves2, Javier San José2, José Almeida2, João Moura e Sá3
1 Interno Complementar de Pneumologia, Unidade de Broncologia Serviço de Pneumologia do Centro Hospitalar de Vila Nova de Gaia.
2 Assistente Hospitalar de Pneumologia, Unidade de Broncologia Serviço de Pneumologia do Centro Hospitalar de Vila Nova de Gaia
3 Assistente Hospitalar Graduado de Pneumologia, Unidade de Broncologia Serviço de Pneumologia do Centro Hospitalar de Vila Nova de Gaia
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"etiqueta" => "1" "identificador" => "af0005" ] 1 => array:3 [ "entidad" => "Assistente Hospitalar de Pneumologia, Unidade de Broncologia Serviço de Pneumologia do Centro Hospitalar de Vila Nova de Gaia" "etiqueta" => "2" "identificador" => "af0010" ] 2 => array:3 [ "entidad" => "Assistente Hospitalar Graduado de Pneumologia, Unidade de Broncologia Serviço de Pneumologia do Centro Hospitalar de Vila Nova de Gaia" "etiqueta" => "3" "identificador" => "af0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cr0005" "etiqueta" => "*" "correspondencia" => "<span class="elsevierStyleBold">Endereço:</span> Daniela Ferreira, Serviço de Pneumologia, Centro Hospitalar de Vila Nova de Gaia, Rua Conceição Fernandes, 4434-502 Vila Nova de Gaia" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Bronchial fracture: Bronchoscopy management with bronchial stent and balloon bronchoplasty" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-07-27" "fechaAceptado" => "2008-01-30" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570493" "palabras" => array:5 [ 0 => "Fractura brônquica" 1 => "traumatismo" 2 => "broncoscopia" 3 => "prótese brônquica" 4 => "broncoplastia com balão" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570492" "palabras" => array:5 [ 0 => "Bronchial fracture" 1 => "trauma" 2 => "bronchoscopy" 3 => "endobronchial stent" 4 => "balloon bronchoplasty" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">A fractura brônquica é uma lesão rara, de mortalidade elevada, e geralmente secundária a traumatismos torácicos fechados. O seu diagnóstico exige alto índice de suspeição, na medida em que as manifestações são variáveis e não específicas. A broncoscopia desempenha um papel primordial no diagnóstico e, em casos seleccionados, no tratamento das fracturas brônquicas.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">Os autores apresentam o caso clínico de um doente politraumatizado com um traumatismo torácico grave após um acidente de trabalho. A broncoscopia revelou fractura extensa do brônquio principal esquerdo, tendo sido realizado tratamento conservador com colocação de prótese e broncoplastia com balão.</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Apresentase uma revisão da literatura da fractura brônquica e o papel diagnóstico e terapêutico da broncoscopia.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2008; XIV (3): 409-414</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall">Bronchial fracture is a rare, life-threatening injury usually associated with blunt chest trauma. It represents a great task in diagnosis, as its manifestations are various and nonspecific.</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall">Bronchoscopy has a primordial role to diagnose and, in selective cases, to treat bronchial fractures.</p><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall">The authors present the case report of a patient with a thoracic trauma after an accident in the workplace. The bronchoscopy revealed a fracture of the left main bronchus. Conservative treatment was performed with endobronchial stenting and balloon dilatation.</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall">In conclusion, a review of the literature on bronchial fracture and the role of bronchoscopy is presented.</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2008; XIV (3): 409-414</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:8 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Occult tracheobronchial injury. A subsegmental location" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "K.A. Hardin" 1 => "S. Louie" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Journal of Bronchology" "fecha" => "2002" "volumen" => "9" "paginaInicial" => "290" "paginaFinal" => "293" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bb0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Fractura bronquial" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "I. Canviedes" 1 => "M. Zink" 2 => "J. Abarca" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rev Chil Enf Respir" "fecha" => "2003" "volumen" => "19" "paginaInicial" => "118" "paginaFinal" => "122" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bb0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Post traumatic rupture of the right main bronchus: a rare clinical entity?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "B.T. Stewart" 1 => "C.G. Meridew" 2 => "M. Krishnan" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J R Coll Surg Edinb" "fecha" => "1999" "volumen" => "44" "paginaInicial" => "132" "paginaFinal" => "133" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10230210" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bb0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Traumatic bronchial rupture" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "W. Harvey-Smith" 1 => "W. Bush" 2 => "C. Northrop" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.2214/ajr.134.6.1189" "Revista" => array:6 [ "tituloSerie" => "AJR" "fecha" => "1980" "volumen" => "134" "paginaInicial" => "1189" "paginaFinal" => "1193" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6770629" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bb0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Significance of pneumomediastinum in blunt trauma of the thorax" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "P.R. Lotz" 1 => "W. Martel" 2 => "J.J. Rohwedder" 3 => "R.A. Green" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.2214/ajr.132.5.817" "Revista" => array:6 [ "tituloSerie" => "AJR" "fecha" => "1979" "volumen" => "132" "paginaInicial" => "817" "paginaFinal" => "819" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/107753" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bb0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Major airway injury in closed chest trauma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J.L. Guest" 1 => "J.N. Anderson" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1977" "volumen" => "72" "paginaInicial" => "63" "paginaFinal" => "66" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/872656" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bb0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Rupture of the airways from blunt trauma: treatment of complex injuries" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "P.N. Symbas" 1 => "A.G. Justicz" 2 => "R.R. Ricketts" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg" "fecha" => "1992" "volumen" => "54" "paginaInicial" => "177" "paginaFinal" => "183" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1610239" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bb0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Traumatic bronchial rupture – a case report" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "S.H. Goh" 1 => "S.M. Tan" 2 => "P. Chui" 3 => "B.Y. Low" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur J Cardiothorac Surg" "fecha" => "2002" "volumen" => "22" "paginaInicial" => "984" "paginaFinal" => "989" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12467824" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "pt" "url" => "/08732159/0000001400000003/v1_201509151534/S0873215915302476/v1_201509151534/pt/main.assets" "Apartado" => array:4 [ "identificador" => "43360" "tipo" => "SECCION" "pt" => array:2 [ "titulo" => "Casos Clínicos/Cases Reports" "idiomaDefecto" => true ] "idiomaDefecto" => "pt" ] "PDF" => "https://static.elsevier.es/multimedia/08732159/0000001400000003/v1_201509151534/S0873215915302476/v1_201509151534/pt/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915302476?idApp=UINPBA00004E" ]
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ISSN: 08732159Original language: Portuguese
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