Successful salvage right upper lobectomy and flap repair of trachea-esophageal fistula due to severe necrotizing pneumonia.
A 55-year-old previously well man developed a severe pneumonia. Endoscopy found tracheal and esophageal fistulae communicating with the right lung and pleural space. Bilateral main bronchi intubation was required. Emergency surgery was performed with a latissimus dorsi and serratus anterior muscle flap to close the tracheal and esophageal fistulae. The right upper lobe was found to be destroyed and resected. It was possible to salvage the patient who was discharged home despite challenging anesthetic and surgical circumstances.
Evans
Betsy
B
Department of Thoracic Surgery, Papworth Hospital, Papworth Everard, Cambridge, UK.
MacKenzie
Iain
I
Malata
Charles
C
Coonar
Aman
A
D000230:Adenocarcinoma / Q000150:complications / Q000628:therapy; D001999:Bronchoscopy; D006801:Humans; D007440:Intubation / Q000379:methods; D008175:Lung Neoplasms / Q000150:complications / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D010166:Palliative Care; D011013:Pneumonectomy; D011014:Pneumonia / Q000150:complications / Q000473:pathology / Q000601:surgery*; D012720:Severity of Illness Index; D013524:Surgical Flaps; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D014138:Tracheoesophageal Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D014139:Tracheostomy; D016896:Treatment Outcome