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Ann Thorac Surg 1995;60:690-693
© 1995 The Society of Thoracic Surgeons

Articles

Tacheoesophagogastric anastomosis fistula: A rare complication of esophagectomy

MD Charles-Henri Marty-Ané*, MD Michel Prudhome, MD Jean-Michel Fabre, MD Jacques Domergue, MD Michel Balmes, MD Henri Mary

Service de Chirurgie Thoracique et Vasculaire, Hopital Arnaud de Villeneuve, Centre hospitalier Universitaire, Montpellier, France

Accepted for publication February 24, 1995.

* Address reprint requests to Dr Marty-Ané, Service de Chirurgie Thoracique et Vasculaire, Hôpital Arnaud de Villeneuve, Centre Hospitalier Universitaire, 34295 Montpellier Cedex 5, France.

Fistulas between trachea and esophagogastric anastomosis after esophagectomy are uncommon. We describe 2 patients with such a lesion successfully managed with single-stage repair. The fistula was divided, the tracheal defect was closed directly or with a free pericardial graft, and the esophagogastric anastomosis was redone. A muscle or pleural flap was used to separate the tracheal and digestive suture lines. This treatment of a potentially life-threatening condition yielded excellent results without postoperative complications.




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