title: Endoscopic Repair of Recurrent Tracheoesophageal Fistula With an Atrial Septal Occluder Device.
abstract: A 32-year-old woman presented with recurrent trachea-esophageal fistula. Although she had undergone open repair three times in her first year of life, a residual small leak was left. In the past 2 years she had experienced several lower respiratory tract infections and she had lost 5 kilograms in the past 2 months. Recent argon plasma coagulation cauterization and clipping of the fistula had failed, so an alternative technique with placement of an atrial septal occluder device was used to obliterate the fistula. A follow-up barium swallow showed no more communication to the tracheobronchial tree, and endoscopy demonstrated epithelialization. At her 3-year follow-up visit she was asymptomatic.
authors.affiliation: Departments of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Vivacqua
authors.affiliation: Departments of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio.
authors.forename: Dhananjay
authors.initials: D
authors.lastname: Malankar
authors.affiliation: Departments of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio.
authors.forename: Jay J
authors.initials: JJ
authors.lastname: Idrees
authors.affiliation: Departments of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio.
authors.forename: Thomas W
authors.initials: TW
authors.lastname: Rice
authors.affiliation: Departments of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio.
authors.forename: Daniel P
authors.initials: DP
authors.lastname: Raymond
authors.affiliation: Departments of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio. Electronic address: roselle@ccf.org.
authors.forename: Eric E
authors.initials: EE
authors.lastname: Roselli
mesh_terms: D000328:Adult; D004724:Endoscopy / Q000295:instrumentation*; D005260:Female; D006801:Humans; D012008:Recurrence; D055989:Septal Occluder Device; D014138:Tracheoesophageal Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*