title: Closure of Nonmalignant Tracheoesophageal Fistula Using an Atrial Septal Defect Occluder: Case Report and Review of the Literature.
abstract: Tracheoesophageal fistula (TEF) is a life-threatening condition for which there are several management techniques. We present a case of nonmalignant TEF closure using an atrial septal defect (ASD) occluder. A 53-year-old man with a severe TEF was admitted to our hospital for TEF caused by stenting of an esophagogastric anastomotic stricture. He was successfully treated with closure of the TEF using an endotracheal ASD occluder. Three hundred and eighteen days after placement of the occluder, he suddenly developed a severe cough after dilatation of the esophagogastric anastomosis and spontaneously coughed out the occluder. The fistula was repaired and complete closure that was confirmed on esophagography. He had no recurrence of fistula during the follow-up period of 13 months.
authors.affiliation: Department of Emergency, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China. jiangpyn67@126.com.
authors.forename: Ping
authors.initials: P
authors.lastname: Jiang
authors.affiliation: Department of Anesthesiology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China. qingshou0822@126.com.
authors.forename: Ji
authors.initials: J
authors.lastname: Liu
authors.affiliation: Department of Radiology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, 507 Zhengmin Road, Shanghai, 200433, China. yudong_mail@126.com.
authors.forename: Dong
authors.initials: D
authors.lastname: Yu
authors.affiliation: Department of Radiology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, 507 Zhengmin Road, Shanghai, 200433, China. jbshh@163.com.
authors.forename: Bing
authors.initials: B
authors.lastname: Jie
authors.affiliation: Department of Radiology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, 507 Zhengmin Road, Shanghai, 200433, China. jasfly77@vip.163.com.
authors.forename: Sen
authors.initials: S
authors.lastname: Jiang
mesh_terms: D003371:Cough / Q000150:complications; D017809:Fatal Outcome; D005500:Follow-Up Studies; D006344:Heart Septal Defects, Atrial; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D019233:Retreatment; D014057:Tomography, X-Ray Computed; D014138:Tracheoesophageal Fistula / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome
keywords: Atrial septal defect occluder; Nonsurgical treatment; Radiology intervention; Tracheoesophageal fistula