Primary Repair of an Iatrogenic Bronchial Rupture Under Video Mediastinoscopy  Young-Du Kim, MD, Chan-Beom Park, MD, PhD, Jae-Jun Kim, MD, Chi-Kyung Kim,

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Primary Repair of an Iatrogenic Bronchial Rupture Under Video Mediastinoscopy  Young-Du Kim, MD, Chan-Beom Park, MD, PhD, Jae-Jun Kim, MD, Chi-Kyung Kim, MD, PhD, Seok-Whan Moon, MD, PhD  The Annals of Thoracic Surgery  Volume 87, Issue 6, Pages e51-e53 (June 2009) DOI: 10.1016/j.athoracsur.2009.03.004 Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 The (A) preoperative and (B) 1-month postoperative computed tomographic scans demonstrate the enlarged lymph node (arrowhead) in the right lower paratracheal area and bronchial breaking (arrow) after the repair. The Annals of Thoracic Surgery 2009 87, e51-e53DOI: (10.1016/j.athoracsur.2009.03.004) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The mediastinoscopic view shows the rupture of (A) the right main bronchus and (B) after repairing the bronchial defect, which was primarily done under video mediastinoscopy. (C = carina; R = right main bronchus.) The Annals of Thoracic Surgery 2009 87, e51-e53DOI: (10.1016/j.athoracsur.2009.03.004) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Schematic view of the extracorporeal knot tying with the aid of a homemade knot pusher. Note the suture needle, which was reformed into the shape of a hockey stick to facilitate its introduction through the instrument channel of the video mediastinoscope together with the endoscopic needle holder. Inset: Cross-sectional view of the head of the knot pusher. The Annals of Thoracic Surgery 2009 87, e51-e53DOI: (10.1016/j.athoracsur.2009.03.004) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions