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Eur J Cardiothorac Surg 1998;14:431-433
© 1998 Elsevier Science NL

Case report

Esophageal patching for an unsuturable tracheoesophageal fistula

Service de chirurgie thoracique, Pr. J.F. VELLY, Hôpital du Haut-Lévêque, Bordeaux, 33604 PESSAC, France

Received 30 March 1998; received in revised form 19 July 1998; accepted 11 August 1998.

Corresponding author. Tel.: +33 5 56555009; fax: +33 5 56555021.

We herein report a case of unsuturable tracheoesophageal fistula developed after chemotherapy of a mediastinal lymphoma. Esophageal exclusion was primary performed to prevent continued contamination of the respiratory tract. In a second stage procedure the fistula was patched with the esophageal posterior wall and the digestive tract was restored by a substernal colic bypass. This case leads to discuss the management of extrinsic tumoral tracheal compression and reminds us of an old reported procedure for the cure of large tracheoesophageal fistula.

Key Words: Tracheoesophageal fistula • Mediastinal lymphoma • Esophageal bypass