Preoperative Bronchoscopy before Lung Isolation: Look before You Leap
Annals of Cardiac Anaesthesia Volume 23 Issue 2 April June 2020 249 The Editor, A 62 year old man having a carcinoid tumor involving the left main bronchus planned for a left sided pneumonectomy. The tumor was arising from the left main bronchus approximately 1 cm from carina. Lung perfusion scan of this patient showed 94.3% perfusion on the right side with upper, middle, and lower lobes contributing 17.5% 49.2% and 27.7% respectively. The left lung contributed to only 5.7% of perfusion. The predicted postoperative forced expiratory volume in the 1st s after a left pneumonectomy was 1.74 L.
Annals of cardiac anaesthesia