Tracheal replacement with an aortic homograft.
We report a case of acquired tracheoesophageal fistula, which was confounded by a long segment of necrotic trachea, requiring a desperate attempt at tracheal reconstruction using an aortic homograft. This is followed by a brief review of the literature in support of this useful technique of salvaging long-segment tracheal resection.
Davidson
Murray B
MB
Department of Cardiothoracic Surgery, University of Witwatersrand, Johannesburg, South Africa. mdavidson@vodamail.co.za
Mustafa
Kashif
K
Girdwood
Robert W
RW
D000328:Adult; D001011:Aorta / Q000473:pathology / Q000637:transplantation*; D004947:Esophagus / Q000473:pathology / Q000601:surgery; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D009336:Necrosis; D011183:Postoperative Complications / Q000473:pathology / Q000601:surgery; D012008:Recurrence; D012086:Reoperation / Q000379:methods; D012121:Respiration, Artificial / Q000009:adverse effects; D015607:Stents; D013524:Surgical Flaps; D013529:Surgical Wound Dehiscence / Q000473:pathology / Q000601:surgery; D014132:Trachea / Q000293:injuries / Q000473:pathology* / Q000601:surgery*; D014138:Tracheoesophageal Fistula / Q000473:pathology / Q000601:surgery*; D014139:Tracheostomy / Q000009:adverse effects