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Eur J Cardiothorac Surg 2003;24:463-465
© 2003 Elsevier Science NL

Case report

Plastic reconstruction of an extended corrosive injury of the posterior tracheal wall with an autologous esophageal patch

^a Department of Surgery, Humboldt University Berlin, Charité, Campus Virchow-Clinic, Augustenburger Platz 1, 13353 Berlin, Germany
^b Department of Thoracic Surgery, Zentralklinik Emil von Behring, Department of Lung Clinic Heckeshorn, Berlin, Germany

Received 27 January 2003; received in revised form 7 May 2003; accepted 12 May 2003.

^* Corresponding author. Tel.: +49-30-450-552001; fax: +49-30-450-552900
e-mail: robert.pfitzmann{at}charite.de

We report on a patient with an extended corrosive injury of the posterior tracheal wall and left-sided tracheo-esophageal fistula after severe inhalative trauma. Resection of the fistula and necrotic tissue was followed by reconstruction of the posterior tracheal wall with an esophageal patch. Interposition of the stomach was performed to restore upper gastro-intestinal continuity. Revision was necessary due to an anastomotic insufficiency and a recurrent fistula between the trachea and the esophago-gastrostomy on the left side. The stomach was resected and the fistula was covered with a sternocleidomastoideus muscle flap. Several weeks later interposition of the right hemicolon was performed to establish the gastro-intestinal tract and the patient recovered completely, thereafter.

Key Words: Tracheal corrosive injury/defect • Posterior wall • Plastic reconstruction • Esophageal patch

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