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Ann Thorac Surg 1989;47:767-768
© 1989 The Society of Thoracic Surgeons
Departments of Surgery and Plastic Surgery, University of Virginia Medical Center, Charlottesville, Virginia, USA
* Address reprint requests to Dr Kron, Department of Surgery, Box 181, University of Virginia Medical Center, Charlottesville, VA 22908.
A 51-year-old woman underwent a transhiatal esophagectomy for a failed antireflux procedure. She did well for 15 months, when she developed evidence of hemoptysis followed by tracheogastric fistula. She underwent operative repair with the use of a pericardial patch to replace the membranous trachea and interposition of a latissimus dorsi flap to isolate the stomach from the tracheal suture line. She has done well after this operation.
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