{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T03:15:53Z","timestamp":1771038953895,"version":"3.50.1"},"reference-count":4,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T00:00:00Z","timestamp":1753747200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n            <jats:title>BACKGROUND AND OBJECTIVES<\/jats:title>\n            <jats:p>Tracheal bronchus is a rare anatomical variant (prevalence \u223c1%) that complicates lung isolation during thoracic surgery. We present an airway management approach using a double-lumen tube with an integrated camera (VivaSight DL) in a patient with this anomaly, highlighting the importance of preoperative imaging and device selection.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CASE REPORT<\/jats:title>\n            <jats:p>A 46-year-old male with an incidental tracheal bronchus underwent left upper lobectomy. Preoperative assessment included virtual bronchoscopy, computed tomography (CT) with 3D reconstruction and flexible bronchoscopy, confirming the aberrant bronchus originating 2\u200acm above the carina. A 37Fr left-sided video double-lumen tube was inserted under real-time guidance using its integrated camera, with tracheal bronchus patency confirmed by flexible bronchoscopy through the tracheal lumen. One-lung ventilation was achieved without complications.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSION<\/jats:title>\n            <jats:p>In tracheal bronchus cases, preoperative CT with 3D reconstruction and bronchoscopy are critical for airway planning. Using a double-lumen tube with an integrated camera facilitates safe lung isolation by allowing real-time visual confirmation of anatomy and cuff positioning.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/ea9.0000000000000080","type":"journal-article","created":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T13:00:34Z","timestamp":1753794034000},"page":"e0080","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Lung isolation on a patient with a tracheal bronchus"],"prefix":"10.1097","volume":"4","author":[{"given":"Manuel","family":"Granell","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicol\u00e1s","family":"Ferrer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricardo","family":"Guijarro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose","family":"De Andr\u00e9s","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2025,8]]},"reference":[{"key":"R1-20250729","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1016\/j.athoracsur.2020.08.060","article-title":"Congenital anomalies of the tracheobronchial tree: a meta-analysis and clinical considerations","volume":"112","author":"Wong","year":"2021","journal-title":"Ann Thorac Surg"},{"key":"R2-20250729","doi-asserted-by":"crossref","first-page":"1610","DOI":"10.1002\/ppul.24435","article-title":"Spanish multicentre study on morbidity and pathogenicity of tracheal bronchus in children","volume":"54","author":"Moreno","year":"2019","journal-title":"Pediatr Pulmonol"},{"key":"R3-20250729","doi-asserted-by":"crossref","first-page":"1230","DOI":"10.1007\/s00247-007-0636-5","article-title":"Evaluation of tracheal bronchus in Chinese children using multidetector CT","volume":"37","author":"Ming","year":"2007","journal-title":"Pediatr Radiol"},{"key":"R4-20250729","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1067\/mhn.2002.122703","article-title":"Tracheal bronchus: classification, endoscopic analysis, and airway management","volume":"126","author":"Doolittle","year":"2002","journal-title":"Otolaryngol Head Neck Surg"}],"container-title":["European Journal of Anaesthesiology Intensive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/EA9.0000000000000080","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T13:00:35Z","timestamp":1753794035000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/EA9.0000000000000080"}},"subtitle":["Advanced airway management"],"short-title":[],"issued":{"date-parts":[[2025,7,29]]},"references-count":4,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1097\/ea9.0000000000000080","relation":{},"ISSN":["2767-7206"],"issn-type":[{"value":"2767-7206","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,29]]},"assertion":[{"value":"2025-03-29","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-13","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}