Successful Treatment of a Recurrent Wide Tracheoesophageal Fistula With a Bioabsorbable Patch.
Acquired nonmalignant tracheoesophageal fistula (TEF) is a rare condition that requires proper treatment. We present the case of a 55-year-old woman with a 4.5-cm recurrent TEF, which had developed after an attempted surgical repair. After closure of the esophageal defect in two layers, a tracheoplasty technique was used to repair the tracheal membranous wall with a synthetic bioabsorbable patch (Gore Bio-A tissue reinforcement) covered with an intercostal muscle flap. The use of Gore Bio-A tissue reinforcement is an innovative and effective method to close a wide tracheal defect while achieving a scaffold for epithelial colonization.
Thoracic Surgery Unit, Department of Cardiologic, Thoracic and Vascular Sciences, University of Padua, Padova, Italy.
Lucia
L
Battistella
Thoracic Surgery Unit, Department of Cardiologic, Thoracic and Vascular Sciences, University of Padua, Padova, Italy.
Giuseppe
G
Marulli
Thoracic Surgery Unit, Department of Cardiologic, Thoracic and Vascular Sciences, University of Padua, Padova, Italy.
Giovanni Maria
GM
Comacchio
Thoracic Surgery Unit, Department of Cardiologic, Thoracic and Vascular Sciences, University of Padua, Padova, Italy.
Marco
M
Mammana
Anesthesiology and Intensive Care Unit, Department of Pharmacology and Anesthesiology, University of Padua, Padova, Italy.
Guido
G
Di Gregorio
Thoracic Surgery Unit, Department of Cardiologic, Thoracic and Vascular Sciences, University of Padua, Padova, Italy. Electronic address: federico.rea@unipd.it.
Federico
F
Rea
D020341:Absorbable Implants; D005260:Female; D006801:Humans; D008875:Middle Aged; D012008:Recurrence; D054457:Tissue Scaffolds; D014132:Trachea / Q000601:surgery*; D014138:Tracheoesophageal Fistula / Q000601:surgery*