Difficult Lung Isolation in a Heavy Smoker With a History of Left Lower Lobectomy: A Case Report

Anatomical changes in the bronchial tree following a left lower lung lobectomy are not well documented in the current literature. Understanding these changes is crucial for selecting the appropriate lung isolation device and achieving optimal single-lung ventilation. We present the case of a 60-year-old female with a history of left lower lobectomy who was scheduled for elective video-assisted thoracoscopic surgery. This case highlights the unique challenges and management strategies involved, aiming to raise awareness within the medical community.