title: [Difficulty in one-lung ventilation reveals tracheobronchial anomaly].
abstract: A 57-year-old man with carcinoma of the esophagus was scheduled for a subtotal esophagectomy. We used a bronchial blocker tube to perform one-lung ventilation (OLV). But the OLV was not feasible because of a tracheobronchial anomaly of the right superior lobe bronchus. We replaced the bronchial blocker tube with a standard double lumen tube, and the OLV thus became complete. When we cannot perform a complete OLV with a bronchial blocker tube, we should consider the possibility of a tracheobronchial anomaly. When one is found in the right superior lobe bronchus, we should use a standard double lumen tube to perform the OLV.
authors.affiliation: Department of Anesthesiology and Intensive Care Medicine, Graduate School of Medical Science, Kanazawa University, Kanazawa 920-8641.
authors.forename: Kazunobu
authors.initials: K
authors.lastname: Tsuda
authors.forename: Rieko
authors.initials: R
authors.lastname: Kinoshita
authors.forename: Keisuke
authors.initials: K
authors.lastname: Yamada
authors.forename: Tsunehisa
authors.initials: T
authors.lastname: Tsubokawa
authors.forename: Ken
authors.initials: K
authors.lastname: Yamamoto
mesh_terms: D000758:Anesthesia; D001980:Bronchi / Q000002:abnormalities*; D004938:Esophageal Neoplasms / Q000601:surgery; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012121:Respiration, Artificial / Q000379:methods*; D014132:Trachea / Q000002:abnormalities*