title: Successful salvage right upper lobectomy and flap repair of trachea-esophageal fistula due to severe necrotizing pneumonia.
abstract: 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.
authors.affiliation: Department of Thoracic Surgery, Papworth Hospital, Papworth Everard, Cambridge, UK.
authors.forename: Betsy
authors.initials: B
authors.lastname: Evans
authors.forename: Iain
authors.initials: I
authors.lastname: MacKenzie
authors.forename: Charles
authors.initials: C
authors.lastname: Malata
authors.forename: Aman
authors.initials: A
authors.lastname: Coonar
mesh_terms: 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