Abstract
Lung isolation is a technique commonly used in thoracic surgery to improve surgical access, especially in patients undergoing minimally invasive procedures. Selective lobar blockade has been described for patients who cannot tolerate complete lung isolation and, less commonly, for patients who have undergone previous pneumonectomy.1, 2 Selective lobar blockade may also benefit patients with compromised oxygenation by reducing pulmonary shunting, compared with complete lung collapse.3 To our knowledge, there are no reports of selective segmental isolation in the literature. We present the case of a post pneumonectomy patient with a new primary malignancy scheduled for lung resection.
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