Asploro Journal of Biomedical and Clinical Case Reports

Asploro Journal of Biomedical and Clinical Case Reports

Yuling Tang¹, Yu Li^1*
1Department of Anesthesiology, West China Hospital, Sichuan University and The Research Units of West China (2018RU012)-Chinese Academy of Medical Sciences, Chengdu, China

Corresponding Author: Yu Li
Address: Department of Anesthesiology, West China Hospital, Sichuan University, No.37, Guoxue Lane, Wuhou District, Chengdu 610041, Sichuan Province, China.
Received date: 17 April 2023; Accepted date: 03 May 2023; Published date: 10 May 2023

Citation: Tang Y, Li Y. Unexpected Bronchomalacia Combined with Excessive Dynamic Airway Collapse was Diagnosed by Intraoperative Bronchoscopy: A Case Report. Asp Biomed Clin Case Rep. 2023 May 10;6(2):91-94.

Copyright © 2023 Tang Y, Li Y. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.

Keywords: Expiratory Central Airway Collapse, Excessive Dynamic Airway Collapse, Bronchomalacia, Bronchoscopy, Inspiratory-Dynamic Expiratory Chest CT

Abstract

Expiratory central airway collapse (ECAC) comprises tracheobronchomalacia (TBM) and excessive dynamic airway collapse (EDAC). ECAC is a progressive disease that can be congenital or acquired, and it can be confirmed by inspiratory-dynamic expiratory chest CT or dynamic bronchoscopy. We present the case of a 65-year-old man who underwent radiofrequency ablation for hepatocellular carcinoma under general anesthesia. After tracheal intubation in the operating room, the respiratory sound in the left lung disappeared, and the respiratory sound in the right lung was clear during chest auscultation. Bronchoscopy revealed complete collapse of the left main bronchus. Intraoperative bronchoscopy confirmed that the patient had ECAC (both TBM and EDAC).