Bronchial rupture with a left-sided polyvinylchloride double-lumen tube


Yuceyar L., Kaynak K., Canturk E., Aykac B.

ACTA ANAESTHESIOLOGICA SCANDINAVICA, vol.47, no.5, pp.622-625, 2003 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 47 Issue: 5
  • Publication Date: 2003
  • Doi Number: 10.1034/j.1399-6576.2003.00102.x
  • Journal Name: ACTA ANAESTHESIOLOGICA SCANDINAVICA
  • Journal Indexes: Science Citation Index Expanded, Scopus
  • Page Numbers: pp.622-625

Abstract

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.