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Ann Thorac Surg 2002;74:1233-1235
© 2002 The Society of Thoracic Surgeons

Case report

Successful management of a nonmalignant esophageal perforation with a coated stent

Hamid Mumtaz, MDa, Gary W. Barone, MDb, Beverley L. Ketel, MDb, Aytekin Ozdemir, MD*a

a Division of Cardiothoracic Surgery, Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
b Division of Transplant Surgery, Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA

Accepted for publication May 1, 2002.

* Address reprint requests to Dr Ozdemir, Division of Cardiothoracic Surgery, Slot 713, University of Arkansas for Medical Sciences, 4301 West Markham St, Little Rock, AR 72205 USA
e-mail: ozdemiraytekin{at}uams.edu

This case report details our experience in the management of an iatrogenic perforation that recurred after two surgical repairs. A self-expanding coated stent was eventually placed to seal the esophageal perforation with significant improvement in the clinical condition of the patient. At 1-year follow-up, the patient is tolerating an oral diet with no evidence of esophageal leak or gastroesophageal reflux. This case report and a literature review suggest that self-expanding coated stents may be a useful salvage option in the management of inveterate nonmalignant esophageal perforations.




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