Left mainstem bronchial rupture during one-lung ventilation with Robertshaw double lumen endobronchial tube -A case report

Lung separation using a double-lumen endobronchial tube is necessary for video assisted thoracoscopy (VATs). Bronchial rupture after intubation with a double-lumen endobronchial tube has been rarely reported. We report a case of a 70-year-old man who had solitary pulmonary nodule in his right upper...

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Bibliographic Details
Published in:Korean journal of anesthesiology 2010, 59(0), , pp.21-25
Main Authors: Kim, Hyun Kyu, Jun, Joo Hwan, Lee, Hee Sung, Choi, Young Ryong, Chung, Mi Hwa
Format: Article
Language:English
Subjects:
bronchial rupture
Case Report
complication
double lumen endobronchial tube
intubation
마취과학
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Summary:Lung separation using a double-lumen endobronchial tube is necessary for video assisted thoracoscopy (VATs). Bronchial rupture after intubation with a double-lumen endobronchial tube has been rarely reported. We report a case of a 70-year-old man who had solitary pulmonary nodule in his right upper lobe. He was intubated with a left-sided Robertshaw double-lumen endobronchial tube. He underwent a VATs right upper lobectomy with the one-lung ventilation of left lung. During the operation, the rupture of the left mainstem bronchus was detected. Immediately, the thoracotomy was performed and the ruptured left mainstem bronchus was repaired with absorbable sutures (vicryl). Seven days later he had a bronchoscopy to examine the left mainstem bronchus. There was no evidence of the bleeding, leakage and inflammation. Subsequent course was uneventful. Tracheobronchial injuries related to the double-lumen endobronchial tube are discussed.
ISSN:2005-6419
2005-7563
DOI:10.4097/kjae.2010.59.S.S21