Bronchus perforation by EZ-Blocker™ endobronchial blocker during esophageal resection after neoadjuvant chemoradiation: a case report
- Author:
Jorien M VAN DE PAS
1
;
Margaretha CE VAN DER WOUDE
;
Henricus J BELGERS
;
Karel WE HULSEWÉ
;
Erik R DE LOOS
Author Information
- Publication Type:Case Report
- Keywords: Bronchi; Esophageal neoplasms; Intubation; Neoadjuvant therapy; Thoracic surgery; Video-assisted surgery
- MeSH: Bronchi; Esophageal Neoplasms; Esophagectomy; Humans; Intubation; Neoadjuvant Therapy; One-Lung Ventilation; Thoracic Surgery; Video-Assisted Surgery
- From:Korean Journal of Anesthesiology 2019;72(2):184-187
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND: Double-lumen tubes (DLT) and endobronchial blockers (EB) are used for one-lung ventilation in thoracic surgery. More complications are seen when using DLT when compared to EB, while major complications are rarely seen. CASE: This case report describes a perforation of the right mainstem bronchus by an EZ-Blocker EB in a patient undergoing a minimally invasive esophagectomy after neoadjuvant chemoradiation. CONCLUSIONS: We advise to insert an EZ-Blocker™ EB with caution and only under direct bronchoscopic visualization, especially in previous irradiated patients.