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Case Reports in Surgery
Volume 2016, Article ID 3179184, 4 pages
Case Report

Extraction of a Large Central Airway Foreign Body Using Flexible Bronchoscopy Combined with an Endobronchial Blocker

1Oregon Health and Science University, Portland, OR 97239, USA
2Division of Cardiothoracic Surgery, Oregon Health and Science University, Portland, OR 97239, USA

Received 2 February 2016; Revised 29 March 2016; Accepted 13 April 2016

Academic Editor: Baran Tokar

Copyright © 2016 Tyler Paradis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Adult foreign body (FB) aspiration is an uncommon but potentially fatal event. Options for extraction include flexible bronchoscopy (FLXB), rigid bronchoscopy (RB), and surgical extraction. We report the case of a large, smooth aspirated rock causing airway obstruction in an elderly male. RB is generally the preferred approach for extraction of a large complex FB; however, due to its size, the FB had to be removed using FLXB combined with an endobronchial blocker. In this report, we describe the anesthetic and surgical considerations and the novel technique used to extract the FB.