Department of Anesthesia and Pain Medicine, Pusan National University School of Medicine, Yangsan, Korea.
Department of Anesthesia and Pain Medicine, Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.
Korean J Anesthesiol. 2023 Feb;76(1):67-71. doi: 10.4097/kja.22198. Epub 2022 Jul 25.
The tracheal bronchus in Kartagener syndrome is a rare case that may cause difficulty in one-lung ventilation (OLV). Here we reported a case of successful OLV using bronchial blocker in a patient with tracheal bronchus and Kartagener syndrome (KS).
A 66-year-old female patient with Kartagener syndrome was admitted for left-side diaphragmatic plication. The patient's preoperative computed tomography image showed a tracheal bronchus of the apical segment in the right upper lobe. The patient received epidural analgesia and general anesthesia through total intravenous anesthesia. An EZ-Blocker® (Teleflex Life Sciences Ltd., Ireland) was used to perform OLV.
OLV through an EZ-Blocker® can be successfully performed in tracheal bronchus patients with Kartagener syndrome without side effects.
Kartagener 综合征中的气管支气管是一种罕见情况,可能导致单肺通气(OLV)困难。在此,我们报告了一例使用支气管阻塞器在气管支气管和 Kartagener 综合征(KS)患者中成功进行 OLV 的病例。
一名 66 岁女性 Kartagener 综合征患者因左侧膈肌折叠术入院。患者术前 CT 图像显示右上叶尖段有气管支气管。患者接受硬膜外镇痛和全静脉麻醉下的全身麻醉。使用 EZ-Blocker®(Teleflex Life Sciences Ltd.,爱尔兰)进行 OLV。
通过 EZ-Blocker®在 Kartagener 综合征患者的气管支气管中成功进行 OLV ,且无副作用。