{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T20:51:27Z","timestamp":1781643087396,"version":"3.54.5"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:00:00Z","timestamp":1773187200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"vor","delay-in-days":40,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int J Emerg Med"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Tracheobronchial injuries from blunt chest trauma carry high mortality, with complete thoracic inlet tracheal transection being previously undocumented. While Veno-Venous Extracorporeal Membrane Oxygenation (VV-ECMO) has been increasingly recognized as a critical airway support modality in traumatic tracheal reconstruction, current evidence provides no consensus regarding optimal ECMO initiation timing in surgical decision-making.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A 58-year-old male driver sustained front and back chest impacts in a crash. CT scan revealed complete tracheal transection at the thoracic inlet (mimicking a \u201cbitten-off\u201d appearance). With a dedicated VV-ECMO team on standby, we expeditiously commenced tracheal repair surgery. Intraoperatively, refractory oxygenation deterioration prompted immediate initiation of VV-ECMO via pre-positioned cannulas. Despite this intervention, the patient experienced a 2-minute cardiac arrest, which was successfully reversed. The procedure was ultimately completed with sustained VV-ECMO support, and the patient achieved satisfactory postoperative recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This case demonstrates a unique traumatic tracheal injury mechanism and highlights the critical role of preemptive VV-ECMO team activation in managing complex airway reconstruction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12245-026-01162-9","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T10:16:30Z","timestamp":1773224190000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Complete tracheal transection at the thoracic inlet: successful reconstruction with intraoperative Veno-Venous Extracorporeal Membrane Oxygenation (VV-ECMO) support \u2013 case report"],"prefix":"10.1186","volume":"19","author":[{"given":"Huade","family":"Luo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lingling","family":"Jiang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dongying","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,11]]},"reference":[{"key":"1162_CR1","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1186\/1749-8090-9-117","volume":"9","author":"C Prokakis","year":"2014","unstructured":"Prokakis C, Koletsis EN, Dedeilias P, Fligou F, Filos K, Dougenis D. Airway trauma: a review on epidemiology, mechanisms of injury, diagnosis and treatment. J Cardiothorac Surg. 2014;9:117. https:\/\/doi.org\/10.1186\/1749-8090-9-117.","journal-title":"J Cardiothorac Surg"},{"issue":"2","key":"1162_CR2","doi-asserted-by":"publisher","first-page":"e20","DOI":"10.1164\/rccm.201502-0296IM","volume":"192","author":"MW Wandling","year":"2015","unstructured":"Wandling MW, Hoel AW, Meyerson SL, et al. Complex Intrathoracic Tracheal Injury. Am J Respir Crit Care Med. 2015;192(2):e20\u20131. https:\/\/doi.org\/10.1164\/rccm.201502-0296IM.","journal-title":"Am J Respir Crit Care Med"},{"issue":"3","key":"1162_CR3","doi-asserted-by":"publisher","first-page":"595","DOI":"10.1016\/j.chest.2018.07.018","volume":"155","author":"HS Grewal","year":"2019","unstructured":"Grewal HS, Dangayach NS, Ahmad U, Ghosh S, Gildea T, Mehta AC. Treatment of Tracheobronchial Injuries: A Contemporary Review. Chest. 2019;155(3):595\u2013604. https:\/\/doi.org\/10.1016\/j.chest.2018.07.018.","journal-title":"Chest"},{"issue":"1","key":"1162_CR4","doi-asserted-by":"publisher","first-page":"281","DOI":"10.1053\/j.jvca.2020.01.025","volume":"35","author":"TW Foong","year":"2021","unstructured":"Foong TW, Ramanathan K, Chan K, MacLaren G. Extracorporeal Membrane Oxygenation During Adult Noncardiac Surgery and Perioperative Emergencies: A Narrative Review. J Cardiothorac Vasc Anesth. 2021;35(1):281\u201397. https:\/\/doi.org\/10.1053\/j.jvca.2020.01.025.","journal-title":"J Cardiothorac Vasc Anesth"},{"issue":"7","key":"1162_CR5","doi-asserted-by":"publisher","first-page":"2660","DOI":"10.21037\/jtd.2019.05.61","volume":"11","author":"V Aprile","year":"2019","unstructured":"Aprile V, Korasidis S, Ambrogi MC, Lucchi M. Extracorporeal membrane oxygenation in traumatic tracheal injuries: a bold life-saving option. J Thorac Dis. 2019;11(7):2660\u20133. https:\/\/doi.org\/10.21037\/jtd.2019.05.61.","journal-title":"J Thorac Dis"},{"key":"1162_CR6","doi-asserted-by":"publisher","unstructured":"Boutros J, Marquette CH, Ichai C, Leroy S, Benzaquen J. Multidisciplinary management of tracheobronchial injury. Eur Respir Rev. 2022;31(163). https:\/\/doi.org\/10.1183\/16000617.0126-2021.","DOI":"10.1183\/16000617.0126-2021"},{"issue":"1","key":"1162_CR7","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1016\/j.thorsurg.2007.03.005","volume":"17","author":"R Karmy-Jones","year":"2007","unstructured":"Karmy-Jones R, Wood DE. Traumatic injury to the trachea and bronchus. Thorac Surg Clin. 2007;17(1):35\u201346. https:\/\/doi.org\/10.1016\/j.thorsurg.2007.03.005.","journal-title":"Thorac Surg Clin"},{"issue":"3","key":"1162_CR8","doi-asserted-by":"publisher","first-page":"209","DOI":"10.5152\/eajm.2014.42","volume":"46","author":"T Altinok","year":"2014","unstructured":"Altinok T, Can A. Management of tracheobronchial injuries. Eurasian J Med. 2014;46(3):209\u201315. https:\/\/doi.org\/10.5152\/eajm.2014.42.","journal-title":"Eurasian J Med"},{"issue":"1","key":"1162_CR9","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1177\/0267659111420321","volume":"27","author":"JL Walker","year":"2012","unstructured":"Walker JL, Wiersch J, Benson C, Young HA, Dearmond DT, Johnson SB. The successful use of cardiopulmonary support for a transected bronchus. Perfusion. 2012;27(1):34\u20138. https:\/\/doi.org\/10.1177\/0267659111420321.","journal-title":"Perfusion"},{"issue":"5","key":"1162_CR10","doi-asserted-by":"publisher","first-page":"1478","DOI":"10.1097\/TA.0b013e31821bf562","volume":"71","author":"Y Enomoto","year":"2011","unstructured":"Enomoto Y, Watanabe H, Nakao S, Matsuoka T. Complete thoracic tracheal transection caused by blunt trauma. J Trauma. 2011;71(5):1478. https:\/\/doi.org\/10.1097\/TA.0b013e31821bf562.","journal-title":"J Trauma"},{"issue":"5","key":"1162_CR11","doi-asserted-by":"publisher","first-page":"1444","DOI":"10.1097\/TA.0b013e31824d68e3","volume":"72","author":"RM Muellenbach","year":"2012","unstructured":"Muellenbach RM, Kredel M, Kunze E, et al. Prolonged heparin-free extracorporeal membrane oxygenation in multiple injured acute respiratory distress syndrome patients with traumatic brain injury. J Trauma Acute Care Surg. 2012;72(5):1444\u20137. https:\/\/doi.org\/10.1097\/TA.0b013e31824d68e3.","journal-title":"J Trauma Acute Care Surg"}],"container-title":["International Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12245-026-01162-9","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12245-026-01162-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12245-026-01162-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T19:51:57Z","timestamp":1781639517000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12245-026-01162-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,11]]},"references-count":11,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["1162"],"URL":"https:\/\/doi.org\/10.1186\/s12245-026-01162-9","relation":{},"ISSN":["1865-1380"],"issn-type":[{"value":"1865-1380","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,11]]},"assertion":[{"value":"6 August 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 March 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 March 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"We received written consent from the patient and his family reported herein to present this case. The consent form will be provided upon request.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"110"}}