Anomalous Bronchial Anatomy Complicating One-Lung Ventilation for Anterior Correction of Adolescent Idiopathic Scoliosis

Abstract not available. Introduction provided instead.

The standard protocol for placing anterior instrumentation to correct adolescent idiopathic scoliosis often requires 1-lung ventilation, which can be accomplished by using a double-lumen endotracheal tube to deflate the other lung or by using a bronchial blocker with a single-lumen endotracheal tube to block air from going through selected tracheal passageways. We report the case of a patient whose trifurcation at the carina made placement of a double-lumen endotracheal tube technically challenging. After multiple failed attempts at placement, the surgery was aborted. One week later, a bronchial blocker was placed, and surgery was performed.