Successful one-lung ventilation by blocking the right intermediate bronchus in a 7-year-old child: a case report

Seung Youp Baek, Jin Hwan Kim, Goo Kim, Jin Ho Choi, Chang Young Jeong, Keon Hee Ryu, Dong Ho Park, Seung Youp Baek, Jin Hwan Kim, Goo Kim, Jin Ho Choi, Chang Young Jeong, Keon Hee Ryu, Dong Ho Park

Abstract

A 7-year-old child underwent surgical excision of a benign mesothelioma of the pleura near the right lower lung. Although insertion of a wire-reinforced endotracheal tube through the left main bronchus was attempted for one-lung ventilation to secure the surgical field of view, the attempt failed. Therefore, an endotracheal tube was inserted into the trachea, and an Arndt endobronchial blocker (Cook Medical, Bloomington, IN, USA) was placed in the right intermediate bronchus under bronchoscopic guidance to selectively block the right lower and middle lobes. The surgery was performed while ventilating the right upper lobe and left lung, and no specific intraoperative adverse events occurred.

Keywords: Arndt endobronchial blocker; lateral decubitus position; mesothelioma; one-lung ventilation; pediatrics; thoracic surgery.

Figures

Figure 1.
Figure 1.
Chest radiograph shows a pleural mass in the right lower lung field.
Figure 2.
Figure 2.
Tip of Arndt endobronchial blocker was placed in the right intermediate bronchus (arrow).
Figure 3.
Figure 3.
Thoracoscopy shows the pleural mass (white arrow) and the collapsed right lower lobe (black arrow).

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Source: PubMed

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