ABSTRACT
BACKGROUND: Double-lumen tubes (DLT) and endobronchial blockers (EB) are used for one-lung ventilation in thoracic surgery. More complications are seen when using DLT when compared to EB, while major complications are rarely seen. CASE: This case report describes a perforation of the right mainstem bronchus by an EZ-Blocker EB in a patient undergoing a minimally invasive esophagectomy after neoadjuvant chemoradiation. CONCLUSIONS: We advise to insert an EZ-Blocker™ EB with caution and only under direct bronchoscopic visualization, especially in previous irradiated patients.
Subject(s)
Humans , Bronchi , Esophageal Neoplasms , Esophagectomy , Intubation , Neoadjuvant Therapy , One-Lung Ventilation , Thoracic Surgery , Video-Assisted SurgeryABSTRACT
BACKGROUND@#Double-lumen tubes (DLT) and endobronchial blockers (EB) are used for one-lung ventilation in thoracic surgery. More complications are seen when using DLT when compared to EB, while major complications are rarely seen.CASE: This case report describes a perforation of the right mainstem bronchus by an EZ-Blocker EB in a patient undergoing a minimally invasive esophagectomy after neoadjuvant chemoradiation.@*CONCLUSIONS@#We advise to insert an EZ-Blockerâ„¢ EB with caution and only under direct bronchoscopic visualization, especially in previous irradiated patients.