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Case Reports
. 2019 Apr;72(2):184-187.
doi: 10.4097/kja.d.18.00237. Epub 2018 Dec 14.

Bronchus perforation by EZ-BlockerTM endobronchial blocker during esophageal resection after neoadjuvant chemoradiation -a case report

Jorien M van de Pas  1 , Margaretha Ce van der Woude  2   3 , Henricus J Belgers  1 , Karel We Hulsewé  1 , Erik R de Loos  1
Affiliations
Case Reports

Bronchus perforation by EZ-BlockerTM endobronchial blocker during esophageal resection after neoadjuvant chemoradiation -a case report

Jorien M van de Pas et al. Korean J Anesthesiol. 2019 Apr.

Abstract

Background: Double-lumen tubes (DLT) and endobronchial blockers (EB) are used for one-lung ventilation in thoracic surgery. More complications are seen when using DLT when compared to EB, while major complications are rarely seen.

Case: This case report describes a perforation of the right mainstem bronchus by an EZ-Blocker EB in a patient undergoing a minimally invasive esophagectomy after neoadjuvant chemoradiation.

Conclusions: We advise to insert an EZ-BlockerTM EB with caution and only under direct bronchoscopic visualization, especially in previous irradiated patients.

Keywords: Bronchi; Esophageal neoplasms; Intubation; Neoadjuvant therapy; Thoracic surgery; Video-assisted surgery.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1.
Fig. 1.
Double-lumen tube.
Fig. 2.
Fig. 2.
EZ-BlockerTM endobronchial blocker (RuschⓇ, AnaesthetIQ, the Netherlands).
Fig. 3.
Fig. 3.
EZ-BlockerTM endobronchial blocker perforating the right mainstem bronchus (Video-Assisted Thoracic Surgery, VATS).
Fig. 4.
Fig. 4.
EZ-BlockerTM endobronchial blocker perforating the right mainstem bronchus dorsally (posterolateral muscle-sparing thoracotomy).
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References

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