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Ann Thorac Surg 2007;83:705-706
© 2007 The Society of Thoracic Surgeons

How To Do It

Repair of Large, Iatrogenic, Tracheo-Esophageal Fistulae

Vicky L. Chappell, MD, Herman A. Heck, Jr, MD*

Department of Surgery, Section of Cardiothoracic Surgery, Louisiana State University Health Sciences Center, New Orleans, Louisiana

Accepted for publication April 17, 2006.

* Address correspondence to Dr Heck, Section of Cardiothoracic Surgery, LSU Health Sciences Center, 2020 Gravier St, Suite 753, New Orleans, LA 70112. (Email: hheck{at}lsuhsc.edu).

Closure of large, iatrogenic, tracheo-esophageal fistulae present a formidable technical challenge. Our method of repair is presented, which describes the exposure and subsequent closure that relies on creating a new "membranous" trachea using remnant flaps of the esophageal wall of the fistula.






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Copyright © 2007 by The Society of Thoracic Surgeons.