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Ann Thorac Surg 1993;55:1561-1563
© 1993 The Society of Thoracic Surgeons

Articles

Tracheoesophageal fistula caused by Mycobacterial tuberculosis adenopathy

Paolo Macchiarini, MDa,b, Nathalie Delamare, MDa,b, Philippe Beuzeboc, MDa,b, Anne Sophie Labussiére, MDa,b, Jacques Cerrina, MDa,b, Elisabeth Dulmet, MDa,b, Alain Chapelier, MDa,b, Philippe Dartevelle, MD*,a,b

a Department of Thoracic and Vascular Surgery and Heart-Lung Transplantation, Hopital Marie-Lannelongue, Paris-Sud University, Plessis Robinson, France
b Department of Internal Medicine, Hopital Cochin, Paris-V University, Paris, France

Accepted for publication July 22, 1992.

* Address reprint requests to Prof Dartevelle, Department of Thoracic and Vascular Surgery and Heart-Lung Transplantation, Hopital Marie-Lannelongue, Paris-Sud University, 133, Avenue de la Resistance, 92350 Plessis Robinson, France.

Tracheoesophageal fistulas resulting from a Mycobacterium tuberculosis infection are uncommon. We describe a patient with such a lesion that had the radiologic and clinic appearance of a malignant tracheoesophageal fmstula. Use of an anterior cervical approach with one-stage esophageal repair along with tracheal resection and anastomosis allowed definitive diagnosis and treatment of this life-threatening complication.




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