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

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

Acta Anaesthesiologica Scandinavica 47(5): 622-625

ISSN/ISBN: 0001-5172

PMID: 12699525

DOI: 10.1034/j.1399-6576.2003.00102.x

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.

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Accession: 010259057

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