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Ann Thorac Surg 1986;41:453-454
© 1986 The Society of Thoracic Surgeons

Articles

Surgical Treatment of H-Type Tracheoesophageal Fistula Diagnosed in an Adult

William L. Holman, M.D.*, Abdolazim Vaezy, M.D., R.W. Postlethwait, M.D., Albert Bridgman, M.D.

Department of Surgery, Duke University Medical Center, Durham, and the Departments of Surgery and Medicine, Oteen Veterans Administration Medical Center, Asheville, NC

Accepted for publication July 5, 1985.

* Address reprint requests to Dr. Holman, Department of Surgery, Box 3317, Duke University Medical Center, Durham, NC 27710

A new method is described for the repair of a congenital tracheoesophageal fistula in an adult. This technique uses a fiberoptic bronchoscope and passes a flexible vascular guidewire across the tracheoesophageal fistula. This maneuver then simplifies the intraoperative identification of the tracheoesophageal fistula, which is exposed and repaired through a left transcervical approach.




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