Repair of massive stent-induced tracheoesophageal fistula

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Presentation transcript:

Repair of massive stent-induced tracheoesophageal fistula Yong Han, MD, Kun Liu, MD, Xiaofei Li, MD, Xiaoping Wang, MD, Yongan Zhou, MD, Zhongping Gu, MD, Qunfeng Ma, MD, Tao Jiang, MD, Lijun Huang, MD, Tao Zhang, MD, Qingshu Cheng, MD The Journal of Thoracic and Cardiovascular Surgery Volume 137, Issue 4, Pages 813-817 (April 2009) DOI: 10.1016/j.jtcvs.2008.07.050 Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Double patch technique. A, The long and short patches with the fistula in between. B, The short patch was sutured full-thickness to the left edges. C, The fistula was closed with the short patch. D, The short patch was covered with the long esophageal wall patch. The Journal of Thoracic and Cardiovascular Surgery 2009 137, 813-817DOI: (10.1016/j.jtcvs.2008.07.050) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Bronchoscopic and intraoperative photographs of a 38-year-old male patient. TEF occurred 2 months after stent placement for esophageal rupture caused by a traffic accident. A, Bronchogram showed a large fistula in the membranous tracheal wall. B, Computed tomographic scan showed TEF with esophageal stent. C, The esophagus was opened, the fistula defect was found, and the stent was moved. D, Two esophageal patches were made and the fistula defect was exposed. E, Bronchogram 10 days after the operation showed that the defect was nicely repaired. The Journal of Thoracic and Cardiovascular Surgery 2009 137, 813-817DOI: (10.1016/j.jtcvs.2008.07.050) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions