Lung isolation and one-lung ventilation in a tracheostomised patient undergoing minimally invasive direct coronary artery bypass surgery: a case report

MIDCAB being a safe and effective procedure may be considered ideal for non-diffuse multivessel occlusions, adequate left ventricular function and for those who prefer to return to their normal life without sternotomy wound care. In such patients, the use of bronchial blockers as an adjunct via elective tracheostomy prior to the cardiac surgery facilitates prolonged ventilation for an extended period. Moreover, this technique expands the scope of MIDCAB to be applied in a diverse spectrum of patients with minimal risk. This is a rare case of insertion of bronchial blockers along with pre-operative tracheostomy for airway management prior to MIDCAB surgery.