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Eur J Cardiothorac Surg 2009;36:600-602. doi:10.1016/j.ejcts.2009.05.047
Copyright © 2009, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Case reports

Surgical management of huge tracheo-oesophageal fistula with oesophagus segment in situ as replacement of the posterior membranous wall of the trachea

Jianxing Hea,b,*, Manyin Chenb,c, Wenlong Shaoa,b, Daoyuan Wanga,b

a Department of Cardiothoracic Surgery, The First Affiliated Hospital of Guangzhou Medical College, Guangzhou, Guangdong Province, PR China
b Guangzhou Research Institute of Respiratory Disease & China State Key Laboratory of Respiratory Disease, Guangzhou, Guangdong Province, PR China
c Centro Hospital Conde De S. Januario, Macau, PR China

Received 19 January 2009; received in revised form 28 April 2009; accepted 19 May 2009.

* Corresponding author at: Department of Cardiothoracic Surgery, The First Affiliated Hospital of Guangzhou Medical College, No. 151, Yanjiang Road, Guangzhou 510120, Guangdong Province, PR China. Tel.: +86 20 83337792; fax: +86 20 83350363. (Email: drjianxing.he{at}gmail.com).

Tracheo-oesophageal fistula (TEF) is an uncommon and potentially life-threatening complication of blunt chest trauma. We describe our surgical experience in a patient with huge TEF (5.6 cm in diameter) and evaluate the short-term results of surgical management by oesophageal exclusion (cervical gastro-oesophagostomy) and show that the use of oesophagus segment in situ as replacement of the posterior membranous wall of the trachea is feasible. Improving the nutrition status and controlling the lung infection were critical in the perioperation period.

Key Words: Tracheo-oesophageal fistula • Huge • Surgical management






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Copyright © 2009 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.