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Ann Thorac Surg 1999;68:1071-1072
© 1999 The Society of Thoracic Surgeons

Case Reports

Tracheoplasty in a large tracheoesophageal fistula

Genaro Galán, MDa, Vicente Tarrazona, MDa, Juan Soliveres, PhDa, Victor Calvo, PhDa, Francisco París, MDa

a Thoracic Surgery Unit and Anesthesiology Service, Clinic University Hospital, Valencia, Spain

Address reprint requests to Dr Galán, Unidad Cirugía Torácica, Hospital Clínico Universitario, Av Blasco Ibañez 17, 46010 Valencia, Spain

Postintubation tracheoesophageal fistulas (TEFs) are severe lesions that can be associated with tracheal stenosis and therapeutic difficulties. A case is reported of a woman with TEF and postintubation tracheal stenosis with 6.5 cm of affected trachea, and total esophageal exclusion. A tracheoplasty method is described patching the loss of the tracheal membranous wall with the posterior esophageal wall. In a final step, a self-expanded tracheal stent and esophagocolic bypass were added.




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