Right-sided Decortication in a Patient with Left Pulmonary Artery Embolism – A Case Report

This case is an anesthesia challenge and management of one-lung ventilation in a patient with pulmonary embolism the ventilated lung. A 50 years old male history thromboembolism segmental subsegmental branches left artery was posted for right decortication. He developed hypoxia (sp02~82-85% ) PaC02-EtCO2 difference ~30 mm Hg on initiation one lung indicating significant shunting blood V/Q mismatch. We want to emphasize importance intraoperative arterial analysis look (PaCO2 –EtCO2) periodic reinflation collapsed patients whom supply dependent compromised. The presence vascular compromise side offers great number challenges during ventilation.