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Ann Thorac Surg 1995;59:887-890
© 1995 The Society of Thoracic Surgeons

Articles

Congenital bronchoesophageal fistula in the adult

MD, PhD O. Juhani Rämö*, MD, PhD Jarmo A. Salo, MD, PhD Severi P. Mattila

Department of Thoracic and Cardiovascular Surgery, Helsinki University Central Hospital, Helsinki, Finland

Accepted for publication November 5, 1994.

* Address reprint requests to Dr Rämö, Department of Thoracic and Cardiovascular Surgery, Helsinki University Central Hospital, Haartmaninkatu 4, FIN-00290 Helsinki, Finland.

Congenital bronchoesophageal fistula is a rare clinical entity in adult patients. This anomaly may cause various symptoms such as respiratory infections, coughing bouts when eating or drinking, and even hemoptysis. We present a report on 9 patients with bronchoesophageal fistulas who were treated in our hospital during the last 30 years. One patient died of pulmonary complications before definitive treatment of the fistula. Other patients recovered from surgical closure of the fistula without complications. Based on our experience, these patients should be treated surgically without delay. Observation may result in fatal pulmonary complications.




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