title: [Rupture of left main bronchus due to a left double-lumen tube in patient with a history of radiotherapy].
abstract: Airway injury caused by double-lumen tubes is a rare but potentially serious complication. We describe the case of a patient who had a bronchial rupture during one-lung ventilation with left double-lumen tube, complicated with a secondary cardiac arrest. She had a full recovery without sequelae. Underlying causes of the patient were a history of radiotherapy, and a possible overinflation of bronchial cuff, that it could contribute to the development of this complication. The possible airway injury should be considered by all practitioners who employ double-lumen tubes for the care of their patients.
authors.affiliation: Servicio de Anestesia y Reanimación, Complejo Hospitalario de Navarra, Pamplona, Navarra, España. Electronic address: abilbaoa@navarra.es.
authors.forename: A
authors.initials: A
authors.lastname: Bilbao Ares
authors.affiliation: Servicio de Anestesia y Reanimación, Complejo Hospitalario de Navarra, Pamplona, Navarra, España.
authors.forename: O
authors.initials: O
authors.lastname: Romero Menchaca
authors.affiliation: Servicio de Cirugía Torácica, Complejo Hospitalario de Navarra, Pamplona, Navarra, España.
authors.forename: E
authors.initials: E
authors.lastname: Ramírez Gil
authors.affiliation: Servicio de Anestesia y Reanimación, Complejo Hospitalario de Navarra, Pamplona, Navarra, España.
authors.forename: M
authors.initials: M
authors.lastname: Castañeda Pascual
authors.affiliation: Servicio de Cirugía Torácica, Complejo Hospitalario de Navarra, Pamplona, Navarra, España.
authors.forename: J
authors.initials: J
authors.lastname: Guelbenzu Zazpe
authors.affiliation: Servicio de Anestesia y Reanimación, Complejo Hospitalario de Navarra, Pamplona, Navarra, España.
authors.forename: M
authors.initials: M
authors.lastname: Salvador Bravo
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D001943:Breast Neoplasms / Q000532:radiotherapy / Q000601:surgery; D001980:Bronchi / Q000293:injuries* / Q000473:pathology / Q000528:radiation effects; D005260:Female; D005355:Fibrosis; D006323:Heart Arrest; D006801:Humans; D007440:Intubation / Q000009:adverse effects*; D008175:Lung Neoplasms / Q000601:surgery*; D015412:Mastectomy, Segmental; D016609:Neoplasms, Second Primary / Q000601:surgery*; D061810:One-Lung Ventilation / Q000295:instrumentation*; D011013:Pneumonectomy; D011312:Pressure / Q000009:adverse effects; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications; D011832:Radiation Injuries / Q000150:complications / Q000473:pathology; D018714:Radiotherapy, Adjuvant / Q000009:adverse effects*; D012421:Rupture / Q000209:etiology*
keywords: Bronchial rupture; Cardiac arrest; Double-lumen tube; Parada cardíaca; Rotura bronquio; Tubo de doble luz