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Ann Thorac Surg 1999;67:830-831
© 1999 The Society of Thoracic Surgeons

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Case Reports

Tracheoesophageal fistula caused by a self-expanding esophageal stent

^a Genesis Healthcare System, Zanesville, Ohio, USA

Accepted for publication August 6, 1998.

Address reprint requests to Dr Schowengerdt, 1246 Ashland Ave, Zanesville, OH 43701
e-mail: schowe{at}msmisp.com

A patient is presented who had previously undergone an esophagectomy for an adenocarcinoma of distal esophagus. He experienced repeated strictures at the esophagogastric anastomosis at 22 cm. After multiple dilatations, a self-expanding metal stent was placed. Four months later the upper edge of the stent eroded through the esophagus into the trachea, forming a tracheoesophageal fistula. Muscle flap repair was successful.

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