Abstract
This paper describes a case of tracheal rupture due to a double-lumen tube with some notes on 6 cases of tracheobronchial rupture seen in the Japanese literature. A 63-year-old man underwent surgery for an esophageal carcinoma, when a 37Fr. Broncho-Cath® tube was intubated, and esophagectomy was made through a right thoracotomy. After resection of the esophagus, we noticed the herniation of a bronchial cuff through the tracheal tear. Surgical repair of the lesion was accomplished with a direct suture. Postoperative course was uneventful, because an endotracheal tube was detained at a peripheric trachea. All cases seen in the Japanese literature had uneventful postoperative course, however, a death case has been reported in the foreign literature. Double-lumen tube has been increasingly used mainly for the management of the airway during thoracic surgeries. In a use of double-lumen tube, well acquaintance with its characteristics would be mandatory.
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