• Yabing Zhang, Juan Xin, Ye Ma, Qian Li, and Bin Liu.
• Department of Anesthesiology, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
• Medicine (Baltimore). 2017 Dec 1; 96 (50): e8945.

RationalePrimary tracheal adenoid cystic carcinoma of the trachea primary is a rare neoplasm and commonly misdiagnosed. Lung isolation during surgery and ventilation pose a tremendous challenge to anesthesiologists.Patient ConcernsThe authors describe a novel technique of lung isolation and ventilation with a Univent tube during thoracoscopic mediastinal tracheal resection and reconstruction in a female patient.DiagnosesPrimary tracheal adenoid cystic carcinoma, nonsmall cell carcinoma.InterventionsIn this case, tracheal resection and reconstruction were performed. A bronchial blocker of the Univent tube was used as a guide to manipulate the depth of endotracheal tube.OutcomesThe intermittent 1-lung ventilation was established successfully. The patient recovered uneventfully and discharged after 10 days.LessonsThe advantages of approach include a stable airway management without occupying the contracted space of thoracoscope and no potential risk of trapping or barotraumas.Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.

17 keywords...

hide…