Use of bronchial blocker during pediatric complete video-assisted lobectomy for pulmonary arteriovenous fistula

Abstract

Video-assisted thoracoscopic lobectomy in infants has not been widely performed because of the difficulty of one-lung ventilation. We report a pediatric case of complete video-assisted thoracoscopic right lobectomy for pulmonary arteriovenous fistula. In the one-lung ventilation approach, a bronchial blocker was placed in the right main bronchus before tracheal intubation. Bronchoscope entry into the lumen of the tracheal tube did not interfere with the bronchial blocker using this method. A bronchial blocker located outside the tracheal tube may maintain a good position and improve the operability of the bronchoscope and working space, compared with the common practice of bronchial blocker use.