One-lung ventilation in vascular surgery for a patient with significant lung pathology – a case report

V Pather; T Louw

doi:10.36303/SAJAA.3217

One-lung ventilation in vascular surgery for a patient with significant lung pathology – a case report

Authors

V Pather Stellenbosch University https://orcid.org/0009-0006-0423-2900
T Louw Stellenbosch University https://orcid.org/0000-0003-0454-9335

DOI:

https://doi.org/10.36303/SAJAA.3217

Keywords:

one-lung ventilation, lung pathology, vascular surgery

Abstract

In South Africa, the prevalence of tuberculosis and human immunodeficiency virus (HIV) coinfection is one of the highest globally. This combination can have myriad clinical manifestations, posing a challenge to anaesthesiologists. This case report focuses on the anaesthetic management of an HIV-positive patient with previously treated pulmonary tuberculosis (PTB) complicated by fibrocavitary disease and subsequent right lung abscess. The patient presented to the theatre for an emergency right carotidaxillary bypass for multiple subclavian artery mycotic pseudoaneurysms.

Author Biographies

V Pather, Stellenbosch University

Department of Anaesthesia and Critical Care, Tygerberg Hospital, Stellenbosch University, South Africa

T Louw, Stellenbosch University

Department of Anaesthesia and Critical Care, Tygerberg Hospital, Stellenbosch University, South Africa

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Published

2025-09-09

Issue

Vol. 31 No. 4 (2025)

Section

Case Studies

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