Anesthetic Experience of Acquired Distal Tracheoesophageal Fistula: A case report.
10.4097/kjae.2006.50.3.346
- Author:
Youn Suk SON
1
;
Kyu Don CHUNG
;
Hyun Sook CHO
;
Sang Mook LEE
;
Kuhn PARK
;
Jong Ho LEE
;
Ji Hyun CHUNG
Author Information
1. Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. nmoney@korea.com
- Publication Type:Case Report
- Keywords:
airway;
selective endobronchial intubation;
tracheoesophageal fistula
- MeSH:
Anoxia;
Aspergillus;
Biopsy;
Bronchi;
Bronchoscopes;
Drug Therapy;
Female;
Fistula;
Humans;
Lung;
Oxygen;
Precursor Cell Lymphoblastic Leukemia-Lymphoma;
Thoracotomy;
Tracheoesophageal Fistula*;
Ventilation
- From:Korean Journal of Anesthesiology
2006;50(3):346-350
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A tracheoesophageal fistula (TEF) was detected in a woman who received chemotherapy for acute lymphoblastic leukemia. The fistula biopsy confirmed the aspergillus infection. A large fistula was located at the lateral wall of the carina involving the proximal left main bronchus, and the orifice of left main bronchus was almost completely obstructed by white mass-like plaque. Primary repair was planned using the right thoracotomy approach. We originally planned to selectively intubate the left lung with the aid of fiberoptic bronchoscope without success. Therefore, we selectively intubated the right lung. Hypoxemia developed during surgery and the level of oxygenation was improved by selectively intubating the left bronchus from the surgical field once the defect had been exposed. We review the ventilation technique and anesthetic problems encountered in patients with a large distal TEF.
