Incidental finding of tracheal bronchus complicating the anesthetic management of a left video-assisted thoracoscopic procedure

Shvetank Agarwal, Mark A. Banks, Sanjeev Dalela, William B. Bates, Manuel R. Castresana

Research output: Contribution to journalArticle

3 Scopus citations


Congenital abnormalities of the large airways are uncommon, but may occasionally pose significant difficulties for anesthesiologists. The tracheal bronchus is an anatomical variant in which an accessory bronchus originates directly from the trachea rather than distal to the carina, as a takeoff from the right mainstem bronchus. Anesthesiologists should be aware of this uncommon anomaly, its different variants, and its management in order to successfully establish one lung ventilation (OLV) for surgical isolation. In this article, we report the challenges encountered in establishing OLV in a patient with a previously undiagnosed aberrant right upper lobe bronchus arising directly from the trachea.

Original languageEnglish (US)
Pages (from-to)106-108
Number of pages3
JournalJournal of Anaesthesiology Clinical Pharmacology
Issue number1
Publication statusPublished - Jan 1 2016



  • Aberrant tracheal anatomy
  • lung isolation
  • one lung ventilation tracheal bronchus

ASJC Scopus subject areas

  • Pharmacology, Toxicology and Pharmaceutics(all)
  • Pharmacology (medical)
  • Anesthesiology and Pain Medicine

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