Right upper lobe tracheal bronchus: anesthetic challenge in one-lung ventilated patients -A report of three cases-
A 64-year-old man, 67 kg, 163 cm, ASA physical classification status II with esophageal cancer, was scheduled for a esophagogastrectomy, through a right thoracotomy approach. The preoperative CT examination revealed a displaced right upper lobe bronchus, approximately 1 cm above the carina (). Left-sided OLV, using a 37 F DLT, instead of a blocker, was planned. After anesthetic induction, a left-sided DLT was placed. A fiberoptic bronchoscope was then passed down the tube and confirmed the presence of a RUL bronchus, located in an aforementioned site (). The right lung isolation was satisfactory and the case proceeded uneventfully.