Intraoperative one-lung ventilation for total laryngotracheoesophageal cleft

A case of complete laryngotracheoesophageal cleft, diagnosed as an esophageal atresia with tracheoesophageal fistula, was successfully managed with one-lung ventilation during surgery, although some complications have occurred during surgery. Higher positive end-expiratory pressure (PEEP) was required to produce adequate expansion of the independent lung postoperatively.