Abstract
A 46-year-old woman, withheight 161 cm and weight 75 kg, underwent endoscopic resection of the esophagus with reconstruction of the gastrointestinal tract with a gastric tube (McKeown procedure). During the surgery a tracheal injury with a rupture of the membranous part revealed, which was considered as a complication regarding a double-lumen endotracheal tube installation. Clinically, the rupture remained asymptomatic during two hours of single-lung ventilation of the left lung and was visualized during the thoracoscopic stage of the surgery. The tracheal rupture was promptly repaired. In the postoperative period, the patient required prolonged lung ventilation through a laryngeal mask. Frequentbronchial fibroscopy was performed to verify the condition of the tracheal suture, its continuity, and to provide tracheobronchial sanitation in the intensive care unit. The application of a multidisciplinary approach to diagnose and treat a life-threatening complication as tracheal rupture in a short time allowed us to stabilize the patient’s condition and avoid the development of further complications.
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