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Ann Thorac Surg 1992;54:784-786
© 1992 The Society of Thoracic Surgeons
Division of Thoracic Surgery, University of Toronto, Toronto, Ontario, Canada
Accepted for publication January 31, 1992.
* Address reprint requests to Dr Patterson, Division of Cardiothoracic Surgery, Washington University School of Medicine, 1 Barnes Hospital Plaza, Suite 3108, St. Louis, MO 63110.
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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