title: Management of tracheomediastinal fistula using self-expanding metallic stents.
abstract: Tracheomediastinal fistula is a rare condition usually associated with a fatal outcome. We report the case of a 65-year-old man with a subcarinal mass causing total destruction of the carina and proximal mainstem bronchi. The mass was diagnosed as a large cell lymphoma, and the decision was made to undertake chemotherapy only after stabilization of the endobronchial tree. The endobronchial defects were successfully palliated with placement of three different types of self-expanding metallic stents using a flexible bronchoscope under conscious sedation. The unique properties of each stent were used for optimum clinical benefit, avoiding any morbidity.
authors.affiliation: Department of Pulmonary, Allergy, and Critical Care Medicine, Cleveland Clinic, Cleveland, Ohio 44195, USA.
authors.forename: Chirag
authors.initials: C
authors.lastname: Choudhary
authors.forename: Thomas R
authors.initials: TR
authors.lastname: Gildea
authors.forename: Reyadh
authors.initials: R
authors.lastname: Salman
authors.forename: Enrique Diaz
authors.initials: ED
authors.lastname: Guzman
authors.forename: Atul C
authors.initials: AC
authors.lastname: Mehta
mesh_terms: D000368:Aged; D001983:Bronchial Fistula / Q000628:therapy*; D001984:Bronchial Neoplasms / Q000150:complications* / Q000628:therapy; D001999:Bronchoscopy; D005402:Fistula / Q000628:therapy*; D006801:Humans; D016403:Lymphoma, Large B-Cell, Diffuse / Q000150:complications* / Q000628:therapy; D008228:Lymphoma, Non-Hodgkin / Q000150:complications* / Q000628:therapy; D008297:Male; D008477:Mediastinal Diseases / Q000628:therapy*; D008479:Mediastinal Neoplasms / Q000150:complications* / Q000628:therapy; D010166:Palliative Care; D015607:Stents; D014133:Tracheal Diseases / Q000628:therapy*