Abstract
We report here a rare case of traumatic lung rupture with pulmonary contusion undergone a left lower lobectomy with a heparin-coated percutaneous cardiopulmonary support system (PCPS).
A 14-year-old boy, who was injured by jumping from the fifth floor of a building, was admitted to our hospital. Radiography and computed tomography revealed bilateral pulmonary contusions, bilateral hemopneumothorax, splenic rupture, and pelvic fractures. Interventional radiology was initially performed, and the bleeding in the spleen and pelvis was successfully treated by embolization. When the patient took the computed tomography, sudden cardiac arrest occurred. Chest drainage tube drained over 1000 ml of blood from the left chest. The patient was diagnosed as having traumatic lung rupture by computed tomography, and his condition was rapidly deteriorating. A heparin-coated PCPS was immediately used without heparinization. Left lower lobectomy was safely performed. The patient was weaned off PCPS 4 days after surgery.
