Fig. 6.
Demonstration of managing left pulmonary artery laceration using the method described in Fig. 5. A Blunt dissection of lingular artery with a long right angle clamp and suction. B Bleeding (arrow). C Controlling bleeding with the suction. D Clamping the laceration with Allis forceps and removing the suction. E Cross-clamping left main pulmonary artery with endoscopic atraumatic vascular clamp. F Reevaluating the laceration (arrowhead). G Sewing the laceration using running 5-0 Prolene suture. H Removal of the vascular clamp. AVC atraumatic vascular clamp, BS bronchial stump, LA lingular artery, LPA left pulmonary artery