Bronchial rupture with a left-sided polyvinylchloride double-lumen tube.
Bronchial rupture after intubation with a double-lumen endobronchial tube has been infrequently reported. Overinflation of the bronchial cuff was speculated to be a frequent cause of the bronchial damage. We report the case of a 78-year-old woman with non-small cell carcinoma of the right upper lobe. Her trachea and left main-stem bronchus were intubated with a left-sided polyvinylchloride (PVC) double-lumen endobronchial tube (Broncho-Cath(R) 37 Fr, Mallinckrodth Medical, Athlone, Ireland). She underwent an uneventful right upper lobectomy. At the end of the resection, the surgeons noticed the herniating cuff from the ruptured left main-stem bronchus. Laceration was repaired. Subsequent course of the patient was uneventful: she developed neither bronchial leak nor mediastinitis. Ten days later the patients was discharged home in a satisfactory condition. Factors that seem to increase the risk of injury by a double-lumen tube are discussed.
Yüceyar
L
L
Department of Anesthesiology, Istanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey. Lyuceyar@hotmail.com
Kaynak
K
K
Cantürk
E
E
Aykaç
B
B
D000368:Aged; D000758:Anesthesia; D001980:Bronchi / Q000293:injuries* / Q000473:pathology; D018288:Carcinoma, Small Cell / Q000601:surgery; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications; D007442:Intubation, Intratracheal / Q000009:adverse effects* / Q000295:instrumentation*; D008175:Lung Neoplasms / Q000601:surgery; D011143:Polyvinyl Chloride; D012421:Rupture / Q000473:pathology
D011143:Polyvinyl Chloride