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

• Published in: Korean journal of anesthesiology Vol. 76; no. 1; pp. 67 - 71
• Main Authors: Hwang, Boo-Young, Kwon, Jae-Young, Kim, Eunsoo, Baik, Jiseok, Kim, Hyae Jin, Heo, Yun, Lee, Dowon
• Format: Journal Article
• Language: English
• Published: Korea (South) Korean Society of Anesthesiologists 01.02.2023; 대한마취통증의학회
• Subjects: Aged; airway management; Anesthesia, General; Bronchi - diagnostic imaging; Bronchi - surgery; Case Report; ciliary motility disorders; Female; Humans; kartagener syndrome; Kartagener Syndrome - complications; Kartagener Syndrome - diagnostic imaging; Lung; one-lung ventilation; One-Lung Ventilation - methods; tracheal diseases; 마취과학; One-lung ventilation; Ciliary motility disorders; Airway management; Kartagener syndrome; Tracheal diseases
• ISSN: 2005-6419; 2005-7563
• DOI: 10.4097/kja.22198

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