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Bronchial obstruction by tumor embolus of contralateral lung during pneumonectomy: report of a case

Bronchial obstruction due to a tumor embolus of the contralateral lung during pneumonectomy is an uncommon and fatal complication. According to previous cases, a bronchial balloon of double-lumen endotracheal tube (DLT) could prevent a dislodged tumor from traveling to the contralateral lung. We exp...

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Autores principales: Lee, Dong Kyu, Kim, Heezoo, Lim, Sang Ho, Choi, Young Ho, Kim, Hyun Koo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3598947/
https://www.ncbi.nlm.nih.gov/pubmed/23421935
http://dx.doi.org/10.1186/1749-8090-8-26
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author Lee, Dong Kyu
Kim, Heezoo
Lim, Sang Ho
Choi, Young Ho
Kim, Hyun Koo
author_facet Lee, Dong Kyu
Kim, Heezoo
Lim, Sang Ho
Choi, Young Ho
Kim, Hyun Koo
author_sort Lee, Dong Kyu
collection PubMed
description Bronchial obstruction due to a tumor embolus of the contralateral lung during pneumonectomy is an uncommon and fatal complication. According to previous cases, a bronchial balloon of double-lumen endotracheal tube (DLT) could prevent a dislodged tumor from traveling to the contralateral lung. We experienced a tumor embolism from the bronchus with cancer to the other bronchus despite applying DLT. A 59-year-old male with endobronchial lung cancer underwent a left pneumonectomy. One-lung ventilation was established by the right-sided DLT. After a left bronchial division, a sudden increase of peak airway pressure and reduction of the expired tidal volume to 50 ml was observed. Intraoperative fiberoptic bronchoscopy showed a near total obstruction of the right main bronchus due to tumor emboli. It was not possible to remove the tumor embolus through bronchoscopic suction and forceps. Therefore, we reopened the left bronchial stump and successfully extracted tumor embolus under bronchoscopic guidance.
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spelling pubmed-35989472013-03-17 Bronchial obstruction by tumor embolus of contralateral lung during pneumonectomy: report of a case Lee, Dong Kyu Kim, Heezoo Lim, Sang Ho Choi, Young Ho Kim, Hyun Koo J Cardiothorac Surg Case Report Bronchial obstruction due to a tumor embolus of the contralateral lung during pneumonectomy is an uncommon and fatal complication. According to previous cases, a bronchial balloon of double-lumen endotracheal tube (DLT) could prevent a dislodged tumor from traveling to the contralateral lung. We experienced a tumor embolism from the bronchus with cancer to the other bronchus despite applying DLT. A 59-year-old male with endobronchial lung cancer underwent a left pneumonectomy. One-lung ventilation was established by the right-sided DLT. After a left bronchial division, a sudden increase of peak airway pressure and reduction of the expired tidal volume to 50 ml was observed. Intraoperative fiberoptic bronchoscopy showed a near total obstruction of the right main bronchus due to tumor emboli. It was not possible to remove the tumor embolus through bronchoscopic suction and forceps. Therefore, we reopened the left bronchial stump and successfully extracted tumor embolus under bronchoscopic guidance. BioMed Central 2013-02-19 /pmc/articles/PMC3598947/ /pubmed/23421935 http://dx.doi.org/10.1186/1749-8090-8-26 Text en Copyright ©2013 Lee et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Lee, Dong Kyu
Kim, Heezoo
Lim, Sang Ho
Choi, Young Ho
Kim, Hyun Koo
Bronchial obstruction by tumor embolus of contralateral lung during pneumonectomy: report of a case
title Bronchial obstruction by tumor embolus of contralateral lung during pneumonectomy: report of a case
title_full Bronchial obstruction by tumor embolus of contralateral lung during pneumonectomy: report of a case
title_fullStr Bronchial obstruction by tumor embolus of contralateral lung during pneumonectomy: report of a case
title_full_unstemmed Bronchial obstruction by tumor embolus of contralateral lung during pneumonectomy: report of a case
title_short Bronchial obstruction by tumor embolus of contralateral lung during pneumonectomy: report of a case
title_sort bronchial obstruction by tumor embolus of contralateral lung during pneumonectomy: report of a case
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3598947/
https://www.ncbi.nlm.nih.gov/pubmed/23421935
http://dx.doi.org/10.1186/1749-8090-8-26
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