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The Annals of Thoracic Surgery, Vol 54, 784-786, Copyright © 1992 by The Society of Thoracic Surgeons

ARTICLES

Pericardial repair of a tracheal laceration during transhiatal esophagectomy

LA Gorenstein, JG Abel and GA Patterson
Division of Thoracic Surgery, University of Toronto, Ontario, Canada.

Transhiatal esophagectomy has recently been popularized for both benign and malignant esophageal disease. While we were performing a transhiatal esophagectomy for a squamous cell cancer of the upper third of the esophagus, a tear in the membranous trachea near the carina occurred. This was repaired through the cervical incision with a free pericardial patch. This solution to a potentially catastrophic complication of transhiatal esophagectomy gave a satisfactory result without early or late postoperative respiratory complications.

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