Image-guided esophageal anastomosis in esophageal atresia.
Infants with tracheoesophageal fistulas may present with complex cardiac disease that may obviate or disrupt a safe operative repair. Here we present a case of an infant who developed cardiac instability during esophageal atresia repair, precluding formal anastomosis after approximation of the distal and proximal esophageal segments. Postoperatively, anastomosis of the esophagus was achieved using an image-guided technique with subsequent dilation. This approach may provide an alternative approach for establishment of esophageal continuity in patients who are high-risk operative candidates.
Division of Pediatric Surgery, Department of Surgery, Morgan Stanley Children's Hospital, CHN 204, New York, NY 10032, USA. alg2025@columbia.edu
Alejandro V
AV
Garcia
Arul S
AS
Thirumoorthi
Jocelyn M
JM
Traina
Peter
P
Schlossberg
Vladimir
V
Sheynzon
Jessica J
JJ
Kandel
D000714:Anastomosis, Surgical / Q000379:methods; D013505:Digestive System Surgical Procedures / Q000379:methods; D004933:Esophageal Atresia / Q000601:surgery*; D004947:Esophagus / Q000601:surgery*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D025321:Surgery, Computer-Assisted