Tracheal Bronchus

Yoon

et al. 2012

Korean J Anesthesiol

Congenital tracheal stenosis (CTS), though rare, is important because the mortality and morbidity rates are high in infants. Especially, associated congenital heart disease (CHD) in these infants may compound the effects of airway pathology. A 3-week-old patient with long-segmental tracheal stenosis below an anomalous right-upper lobe (RUL) bronchus had undergone a total correction of double outlet right ventricle. On third postoperative day, hypercarbia developed, and severe airway obstruction and atelectasis were detected. An emergency slide tracheoplasty was performed under cardiopulmonary bypass (CPB). The patient recovered well after the surgery. Thus, special attention needs to be paid during the postoperative intensive care of patients with congenital tracheal anomalies. Early detection and prompt diagnosis of airway obstruction can help reduce the morbidity and mortality rates. Further, it is important to select the suitable treatment of CTS associated with CHD.

“…The incidence of tracheal bronchus is approximately 2% [6]. Tracheal bronchus may be asymptomatic or may result in recurrent infections due to the retention of secretions.…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Severe airway obstruction in an infant with congenital tracheal stenosis and congenital heart disease -A case report-

Yoon

et al. 2012

Korean J Anesthesiol

Respiratory Medicine Case Reports

“…Many patients due to coexistent anomalies are surgical candidates and preplanning for the intubation of the patients in the ICU or operation room can be done 7 . The intubation of the patients can cause prolonged atelectasis of the lung.…”

Section: Discussionmentioning

confidence: 99%

Case of missing left lung

Cheraghvandi

Tafti

Talischi

2012

“…It was not only attributed to the tracheal deviation which made it difficult to navigate the bronchoscope, but also to "no doubt" of any tracheobronchial abnormality. The clinical implications of the TB mainly manifested with endotracheal intubation, and the most effective method to mitigate those clinical implications is the recognition of the TB beforehand [3,8-10]. …”

Section: Discussionmentioning

confidence: 99%

Anesthetic experience of an adult patient with an unrecognized tracheal bronchus -A case report-

Choi

Kwak

Choi

et al. 2010

Korean J Anesthesiol

We present a case of problematic tracheal intubation in an adult patient with an unrecognized tracheal bronchus. Immediately after tracheal intubation and position change to prone, bilateral breath sounds were almost absent, and there was a diminished tidal volume. In order to resolve the ventilatory difficulty, the wire-reinforced tube was replaced with a conventional tube, and proper positioning of the tube was completed under fiberoptic guidance. A tracheal bronchus (originating about 1.2 cm above the carina, and supplying the right upper lobe) was found on the postoperative chest CT. In the presence of tracheal bronchus, tracheal intubation may cause pulmonary complications. Anesthesiologists should keep in mind the anesthetic implications of tracheal bronchus, and must be familiar with the use of fiberoptic bronchoscopy for proper positioning of endotracheal tube.