Closure of a broncho-to-neoesophageal fistula using an Amplatzer Septal Occluder device.
Fistulas between the airways and the digestive tract are a rare complication of esophagectomy. We describe such a fistula complicated by recurrent pneumonia. We successfully closed the fistula with an Amplatzer Septal Occluder (AGA Medical Corp, Plymouth, MN), a nitinol device designed for percutaneous closure of congenital heart defects. The device was deployed under direct visualization through rigid bronchoscopy.
Green
David A
DA
Division of Pulmonary and Critical Care Medicine, Virginia Commonwealth University Health System, Richmond, Virginia 23298, USA.
Moskowitz
William B
WB
Shepherd
R Wesley
RW
D000368:Aged; D001983:Bronchial Fistula / Q000601:surgery*; D004937:Esophageal Fistula / Q000601:surgery*; D006801:Humans; D008297:Male; D055989:Septal Occluder Device