Tracheoplasty in a large tracheoesophageal fistula.
Postintubation tracheoesophageal fistulas (TEFs) are severe lesions that can be associated with tracheal stenosis and therapeutic difficulties. A case is reported of a woman with TEF and postintubation tracheal stenosis with 6.5 cm of affected trachea, and total esophageal exclusion. A tracheoplasty method is described patching the loss of the tracheal membranous wall with the posterior esophageal wall. In a final step, a self-expanded tracheal stent and esophagocolic bypass were added.
Galán
G
G
Thoracic Surgery Unit and Anesthesiology Service, Clinic University Hospital, Valencia, Spain.
Tarrazona
V
V
Soliveres
J
J
Calvo
V
V
París
F
F
D004947:Esophagus / Q000601:surgery; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects; D008875:Middle Aged; D011859:Radiography; D019651:Plastic Surgery Procedures; D015607:Stents; D014132:Trachea / Q000601:surgery*; D014135:Tracheal Stenosis / Q000209:etiology / Q000601:surgery; D014138:Tracheoesophageal Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*