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Ann Thorac Surg 2000;69:1249-1251
© 2000 The Society of Thoracic Surgeons

CASE REPORTS

Spontaneous closure of a large tracheal fistula due to descending necrotizing mediastinitis

Hiroshi Kato, MDa, Nobukazu Ohkubo, MDa, Kenji Akazawa, MDa, Hiroyoshi Iseki, MDa, Masaki Haruna, MDa

a Divisions of Cardiovascular Surgery, Surgery, Otolaryngology, and Anesthesia, Toyonaka Municipal Hospital, Osaka, Japan

Address reprint requests to Dr Kato, Division of Cardiovascular Surgery, Toyonaka Municipal Hospital, 14-1, 4-chome, Shibahara-cho, Toyonaka, Osaka 560-8565, Japan

We present a case of a 77-year-old man who had a large tracheal fistula due to descending necrotizing mediastinitis. He underwent long-term care with a respirator after mediastinal drainage operations. The fistula was covered spontaneously with the anterior wall of the esophagus 1.5 months postoperatively.




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