Acquired tracheoesophageal fistula repair, due to prolonged mechanical ventilation, in patient with double incomplete aortic arch

Submitted: June 14, 2018
Accepted: October 9, 2018
Published: October 30, 2018
Abstract Views: 889
PDF: 694
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

We report a case of the repair of an acquired benign tracheoesophageal fistula (TEF) after prolonged mechanical invasive ventilation. Patient had an unknown double incomplete aortic arch determining a vascular ring above trachea and esophagus. External tracheobronchial compression, caused by the vascular ring, increasing the internal tracheoesophageal walls pressure determined by endotracheal and nasogastric tubes favored an early TEF development. The fistula was repaired through an unusual left thoracotomy and vascular ring dissection. TEFs are a heterogeneous group of diseases affecting critically ill patients. Operative closure is necessary to avoid further complications related to this condition. Pre-operative study is mandatory to plan an adequate surgical approach.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

How to Cite

Zampieri, Davide, Alessandro Pangoni, Giuseppe Marulli, and Federico Rea. 2018. “Acquired Tracheoesophageal Fistula Repair, Due to Prolonged Mechanical Ventilation, in Patient With Double Incomplete Aortic Arch”. Monaldi Archives for Chest Disease 88 (3). https://doi.org/10.4081/monaldi.2018.974.