[Anesthetic management of a patient with perforated necrotic trachea after radical esophageal cancer surgery].
We anesthetized a 69-year-old man with perforated necrotic trachea after radical esophageal cancer surgery. We recognized during the reoperation that necrotizing part of the trachea was perforated from the cricoid cartilage to 2cm above the carina. We ventilated the both lungs successfully without leaks by inserting a double-lumen tube into the trachea after tracheostomy. Postoperatively, the carina and the main bronchi were also necrotized and perforated. We ventilated the both lungs without leaks by inserting two single-lumen tubes into the left and right bronchi separately. But, eventually the distal part of the both bronchi was also necrotized and perforated. Finally, the patient died of respiratory failure due to hypoventilation on the 7th day after the re-operation. We should remember this type of emergency complication after radical esophageal cancer surgery.
Ohshima
T
T
Sugano
N
N
Niimura
A
A
Toyooka
H
H
Amaha
K
K
Yoshino
K
K
D000368:Aged; D000758:Anesthesia / Q000379:methods*; D004938:Esophageal Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D009336:Necrosis; D011183:Postoperative Complications / Q000473:pathology*; D014132:Trachea / Q000473:pathology*