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Ann Thorac Surg 1999;68:561-562
© 1999 The Society of Thoracic Surgeons

Case Reports

Gastric tube-to-tracheal fistula closed with a latissimus dorsi myocutaneous flap

Koji Hayashi, MDa, Nobutoshi Ando, MDa, Soji Ozawa, MDa, Kazuyuki Tsujizuka, MDa, Masaki Kitajima, MDa, Tsuyoshi Kaneko, MDb

a Department of Surgery Keio University School of Medicine, Tokyo, Japan
b Department of Plastic Surgery, Keio University School of Medicine, Tokyo, Japan

Address reprint requests to Dr Hayashi, Department of Surgery, Keio University, School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160, Japan

A gastric tube-to-airway fistula is a very rare complication after esophageal reconstruction. A patient with a gastric tube-to-tracheal fistula that developed more than 9 years after surgery for cancer of the cervical esophagus was treated with transposition of a pedicled latissimus dorsi myocutaneous flap. Careful perioperative respiratory management helped save the patient’s life.




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