Flexible bronchoscopic cannulation of an isolated H-type tracheoesophageal fistula in a newborn.
Congenital isolated H-type tracheoesophageal fistula (H-TEF) is a rare malformation of the airways. Surgery should not be delayed once the diagnosis is established. Identification of the fistula during surgery is a prerequisite for a successful outcome. Intubation or cannulation of the H-TEF with a catheter can help the surgeon to identify the fistula. A rigid bronchoscope is generally used for cannulation of the fistula. Cannulation of an H-TEF in a newborn with a flexible bronchoscope has the merit of simplicity and safety. We report the insertion of a catheter in an isolated H-TEF in a newborn using a flexible bronchoscope and think that this method can be easily applied.
Unit of Pediatric Pulmonology, CHU-Estaing-University Teaching Hospital of Clermont-Ferrand, Clermont-Ferrand, France. famat@chu-clermontferrand.fr
Flore
F
Amat
Marie-Christine
MC
Heraud
Thierry
T
Scheye
Marie
M
Canavese
André
A
Labbé
D001999:Bronchoscopy; D002404:Catheterization; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D014138:Tracheoesophageal Fistula / Q000145:classification / Q000151:congenital* / Q000601:surgery*