Thorac Cardiovasc Surg 2010; 58(1): 54-56
DOI: 10.1055/s-0029-1186150
Case Reports

© Georg Thieme Verlag KG Stuttgart · New York

Iatrogenic Tracheal Rupture during Intubation with a Double-Lumen Tube

C. Tezel1 , E. Okur1 , V. Baysungur1
  • 1Department of Thoracic Surgery, Sureyyapasa Chest Diseases and Thoracic Surgery Teaching Hospital, Istanbul, Turkey
Further Information

Publication History

received June 9, 2009

Publication Date:
13 January 2010 (online)


Iatrogenic tracheal rupture after intubation with a double-lumen endotracheal tube is rare. An endobronchial tube positioning guide stylet, which is generally used during intubations with a double-lumen tube, may tear the trachea. A 76-year-old patient with right upper lobe carcinoma was scheduled for videothoracoscopic lobectomy. Mediastinal lymph node dissection was performed after a right upper lobectomy. When the mediastinal pleura in the right paratracheal region were opened, a tracheal cuff was noticed in the mediastinum. The tear in the membranous part of the trachea was repaired. Use of stylets during intubation may cause tracheal injury. To prevent such an injury, the stylet should be withdrawn after the tip of the tube has passed through the vocal cords.


Mr. Cagatay Tezel

Department of Thoracic Surgery
Sureyyapasa Chest Diseases and Thoracic Surgery Teaching Hospital

Yazmaci Tahir sok 51/9 Bostanci

34744 Istanbul


Phone: + 90 21 64 21 42 00

Fax: + 90 21 64 21 42 65