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Case Reports
. 2017 Feb;9(2):E126-E129.
doi: 10.21037/jtd.2017.02.20.

Resection of pulmonary nodule in a patient with subglottic stenosis under modified spontaneous ventilation anesthesia

Jianfei Shen  1 , Xuewei Chen  2 , Lixia Liang  3 , Kevin Phan  4 , Jin-Shing Chen  5 , Calvin S H Ng  6 , Rene Horsleben Petersen  7 , Diego González-Rivas  8 , Jianxing He  2 ; written on behalf of the AME Thoracic Surgery Collaborative Group
Affiliations
Case Reports

Resection of pulmonary nodule in a patient with subglottic stenosis under modified spontaneous ventilation anesthesia

Jianfei Shen et al. J Thorac Dis. 2017 Feb.

Abstract

Subglottic stenosis is an uncommon structural abnormality that can pose as a difficulty for patients undergoing surgery, and treatment is complex due to the special anatomical location. Pulmonary nodule resection in patients with subglottic stenosis is challenging and has not yet been reported. Here we present a case of pulmonary nodule resection in a patient with subglottic stenosis using uniportal thoracoscopy under spontaneous ventilation anesthesia (SVA). Compared with traditional double lumen endotracheal intubation, we believe this modified technique can significantly reduce airway trauma, and accelerate patient recovery.

Keywords: Subglottic stenosis; modified spontaneous ventilation anesthesia (modified SVA); pulmonary nodule.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Positron emission tomography-computed tomography scan revealed a lobulated nodule (1.8 cm × 2.0 cm × 1.2 cm) in posterior segment of RUL (A & B); electronic laryngoscope demonstrated glottic and subglottic stenosis, approximately 90% of the lumen obstructed (C & D). RUL, right upper lobe.
See this image and copyright information in PMC

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