Korean J Anesthesiol.  2023 Feb;76(1):67-71. 10.4097/kja.22198.

The EZ-Blocker® for one-lung ventilation in a patient with Kartagener syndrome and tracheal bronchus -a case report-

Affiliations
  • 1Department of Anesthesia and Pain Medicine, Pusan National University School of Medicine, Yangsan, Korea
  • 2Department of Anesthesia and Pain Medicine, Biomedical Research Institute, Pusan National University Hospital, Busan, Korea

Abstract

Background
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). Case: 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.
Conclusions
OLV through an EZ-Blocker® can be successfully performed in tracheal bronchus patients with Kartagener syndrome without side effects.

Keyword

EZ-Blocker; Kartagener syndrome; Novel bronchial blocker; One-lung ventilation; Primary ciliary dyskinesia; Tracheal bronchus
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