Management of tracheomediastinal fistula using self-expanding metallic stents.
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.
Choudhary
Chirag
C
Department of Pulmonary, Allergy, and Critical Care Medicine, Cleveland Clinic, Cleveland, Ohio 44195, USA.
Gildea
Thomas R
TR
Salman
Reyadh
R
Guzman
Enrique Diaz
ED
Mehta
Atul C
AC
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*