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. 2024 Feb 28;52(1):30-32.
doi: 10.4274/TJAR.2024.231493.

Use of an Endobronchial Blocker in a Patient with Tracheobronchial Anomaly for Minimally Invasive Cardiac Surgery: A Case Report

Emine Nilgün Zengin  1 , Nevriye Salman  1 , Ayşegül Özgök  1
Affiliations

Use of an Endobronchial Blocker in a Patient with Tracheobronchial Anomaly for Minimally Invasive Cardiac Surgery: A Case Report

Emine Nilgün Zengin et al. Turk J Anaesthesiol Reanim. .

Abstract

Tracheal bronchi (TB) is a rare anomaly and is usually asymptomatic. Although it is generally not a problem when a single lumen tube is used, it may cause ventilation difficulties in the intraoperative period in procedures requiring one lung ventilation, such as minimally invasive cardiac surgery. Therefore, these difficulties may cause intraoperative and postoperative complications. While a double-lumen tube is recommended as the primary choice for one-lung ventilation in patients with TB, bronchial blockers can be used to avoid the need for tube exchange in patients who will remain intubated in the postoperative period.

Keywords: Endobronchial blocker; minimally invasive cardiac surgery; one lung ventilation; tracheal bronchus; tracheobronchial anomaly.

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Conflict of interest statement

Declaration of Interests: The authors have no conflict of interest to declare.

Figures

Figure 1
Figure 1
Fiberoptic bronchoscopy image of the patient. The tracheal bronchus was determined as type III according to Conacher’s classification. LMB, left main bronchus; RMB, right main bronchus; TB, tracheal bronchus.
Figure 2
Figure 2
Computed tomography image of our patient's tracheal bronchus. The tracheal bronchus (red arrow) is located as the right apical posterior segment.
See this image and copyright information in PMC

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