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Bronchial rupture with a left‐sided polyvinylchloride double‐lumen tube
Author(s) -
Yüceyar L.,
Kaynak K.,
Cantürk E.,
AykaÇ B.
Publication year - 2003
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1034/j.1399-6576.2003.00102.x
Subject(s) - medicine , cuff , bronchus , lumen (anatomy) , left main bronchus , intubation , surgery , mediastinitis , bronchoscopy , leak , tube (container) , respiratory disease , lung , mechanical engineering , environmental engineering , engineering
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 ® 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.