Congenital tracheal bronchus and right lung isolation

We would like to share our one lung isolation experience in a patient which right lung couldn’t be isolated with bronchial blocker (Cook® Cohen Tip) because of tracheal bronchus.

📌 3 Key Takeaways

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Objective & Hypothesis:Tracheal bronchus is a congenital anomaly in which the right upper lobe bronchus originates from the lateral wall of the trachea.

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Key Findings & Data:Tracheal bronchus has a prevalence of 0.4 % in bronchographic and bronchoscopic studies.

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Conclusion & Impact:We would like to share our one lung isolation experience in a patient which right lung couldn’t be isolated with bronchial blocker (Cook® Cohen Tip) because of tracheal bronchus.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Tracheal bronchus is a congenital anomaly in which the right upper lobe bronchus originates from the lateral wall of the trachea. During conventional endotracheal intubation, the distal side of tracheal tube can obstruct the congenital bronchus. This may lead to right upper lobe atelectasis and/or hypoxemia. Tracheal bronchus has a prevalence of 0.4 % in bronchographic and bronchoscopic studies. We would like to share our one lung isolation experience in a patient which right lung couldn’t be isolated with bronchial blocker (Cook® Cohen Tip) because of tracheal bronchus.

Özet

Trakeal Bronkus; sağ üst lobun trakeanın yan duvarından kaynaklanması ile oluşan konjenital bir anomalidir. Endotrakeal entübasyon sırasında, trakeal tüpün distal kısmı, konjenital trakeal bronkusun ağzını tıkayabilir. Sağ lob atelektazisi ve/veya hipoksiye neden olur. Bronkografik ve bronkoskopik çalışmalarda trakeal bronkus prevelansı % 0,4 civarındadır. Olgu sunumunda, trakeal bronkus nedeniyle bronşiyal blokerle (Cook® Cohen Tip) sağ akciğer izolasyonu sağlanamayan bir olguda, tek akciğer izolasyon deneyimimiz paylaşılmak istenmiştir.

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Cite This Article

TOPÇU, S., ŞAHİN, T., SOLAK, M., TOKER, K., HOŞTEN, T., KUŞ, A. (2022). Congenital tracheal bronchus and right lung isolation. Türk Anestezi ve Reanimasyon Dergisi, Cilt: 37 - Sayı: 1, 56–58. https://ajindex.com/articles/619952

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