Kartagener’s syndrome (KGS) is an autosomal recessive disorder characterized by the triad of bronchiectasis, sinusitis and situs inversus. In this report we present a patient with KGS and bronchiectasis, who underwent pulmonary resection under thoracic epidural anesthesia (TEA) combined with general anesthesia (GA). Lung isolation techniques vary with respect to the patient and anesthesiologist in this rare disorder. We placed a left sided double lumen tube (DLT) with the bronchial lumen on the right for left -sided middle and lower lobectomy in this case. The appropriate anesthetic approaches and advantages of the TEA combined with sevoflurane in patients with KGS undergoing thoracic surgery are discussed.
Keywords: Kartagener syndrome, anesthesia, thoracic surgery; sevoflurane