https://doi.org/10.4081/monaldi.2023.2490
The surgical approach of late-onset tracheoesophageal fistula in a tracheostomized COVID-19 patient
Submitted: November 22, 2022
Accepted: December 16, 2022
Published: February 7, 2023
Accepted: December 16, 2022
Abstract Views: 692
PDF: 204
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.
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
In the COVID-19 era the tracheal complications due to prolonged mechanical ventilation have significantly increased. Acquired tracheoesophageal fistula is one of those in ventilated COVID-19 patients. Thus, the knowledge of their management in such fragile patient is crucial. We report a case of tracheoesophageal fistula in a 56-year-old female under prolonged mechanical ventilation for COVID-19 bilateral pneumonia and discuss its management. A surgical approach was proposed. By a collar-shaped transverse cervicotomic access, we transected the trachea at level of fistula en-bloc with the tracheostoma. The esophageal lesion was longitudinally repaired in two-layers. Protective left strap muscle was sandwiched between esophagus and trachea. The tracheal end-to-end anastomosis was completed without a re-tracheostoma. Even if surgical approach of tracheoesophageal fistula in COVID-19 patients has not been tested before, surgery remains the treatment of choice according to the multidisciplinary board.
Couraud L, Ballester MJ, Delaisement C. Acquired tracheoesophageal fistula and its management. Semin Thorac Cardiovasc Surg 1996;8:392-9.
Grillo HC, Moncure AC, McEnany MT. Repair of inflammatory tracheoesophageal fistula. Ann Thorac Surg 1976;22:112-1.
DOI: https://doi.org/10.1016/S0003-4975(10)63971-9
Fiacchini G, Forfori F, Guarracino F, Bruschini L. Potential mechanisms of laryngotracheal injuries in patients with COVID-19 subjected to invasive ventilation. Respir Care 2021;66:1927-8.
DOI: https://doi.org/10.4187/respcare.09612
García-Herreros LG, Jiménez A, Cabrera LF, et al. Early presentation of post-intubation tracheoesophageal fistula with severe tracheal stenosis in COVID-19 patient. Ann R Coll Surg Engl 2021;103:e144-7.
DOI: https://doi.org/10.1308/rcsann.2020.7065
Reed MF, Mathisen DJ. Tracheoesophageal fistula. Chest Surg Clin N Am 2003;13:271-89.
DOI: https://doi.org/10.1016/S1052-3359(03)00030-9
Wolf M, Yellin A, Talmi YP, et al. Acquired tracheoesophageal fistula in critically ill patients. Ann Otol Rhinol Laryngol 2000;109:731-5.
DOI: https://doi.org/10.1177/000348940010900806
Rosati R, De Nardi P, Dell'Acqua A, et al. Tracheoesophageal fistula in a COVID-19 ventilated patient: A challenging therapeutic decision. Case Rep Surg 2021;2021:6645518.
DOI: https://doi.org/10.1155/2021/6645518
Dhiwakar M, Ronen O, Supriya M, Mehta S. Surgical repair of mechanical ventilation induced tracheoesophageal fistula. Eur Arch Otorhinolaryngol 2020;277:323-31.
DOI: https://doi.org/10.1007/s00405-019-05723-y
Negaresh M, Hoseininia S, Samadi Takaldani AH, et al. Implanting jejunostomy tube as conservative management of tracheoesophageal fistula in a COVID-19 patient. Clin Case Rep 2021;9:e05151.
DOI: https://doi.org/10.1002/ccr3.5151
Pereira C, Silva R, Campello GC, Moura F. Tracheoesophageal fistula in a COVID-19 patient. Saudi J Anaesth 2021;15:447-9.
DOI: https://doi.org/10.4103/sja.sja_294_21
Puma F, Vannucci J, Santoprete S, et al. Surgery and perioperative management for post-intubation tracheoesophageal fistula: case series analysis. J Thorac Dis 2017;9:278-86.
DOI: https://doi.org/10.21037/jtd.2017.02.17
Rotolo N, Cattoni M, Imperatori A. Complications from tracheal resection for thyroid carcinoma. Gland Surg 2017;6:574-8.
DOI: https://doi.org/10.21037/gs.2017.08.05
Cuaño Mina PMG, Pilapil Agsalud JC, Larrazabal Bagaporo RJ, Villalobos RE. Acquired tracheoesophageal fistula in a pregnant patient with COVID-19 pneumonia on prolonged invasive ventilation. BMJ Case Rep 2021;14:e244016.
DOI: https://doi.org/10.1136/bcr-2021-244016
Mathisen DJ, Grillo HC, Wain JC, Hilgenberg AD. Management of acquired nonmalignant tracheoesophageal fistula. Ann Thorac Surg 1991;52:759-65.
DOI: https://doi.org/10.1016/0003-4975(91)91207-C
Granata A, Martucci G, Rizzo GEM, et al. Combined endoscopical treatments for tracheo-esophageal fistula developed during V-V ECMO for severe COVID-19: A case series. Artif Organs 2022;46:506-8.
DOI: https://doi.org/10.1111/aor.14101
How to Cite
Rotolo, Nicola, Maria Cattoni, Silvia De Maio, Luca Filipponi, Pau Mateo-Ramos, and Andrea Imperatori. 2023. “The Surgical Approach of Late-Onset Tracheoesophageal Fistula in a Tracheostomized COVID-19 Patient”. Monaldi Archives for Chest Disease 93 (4). https://doi.org/10.4081/monaldi.2023.2490.
Copyright (c) 2023 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Raj Kumar, Parul Mrigpuri, Shyam Mani Dubey, Rachna Singh, Jyoti Mishra, Sourav Kumar, Ayesha Iqra, One-year continuous abstinence rate for smoking cessation via telephonic counselling: The Indian scenario , Monaldi Archives for Chest Disease: Vol. 93 No. 2 (2023)
- Rossana Orabona, Ivan Lomangino, Giulia Bonera, Giorgio Nocivelli, Anna Fichera, Adriana Valcamonico, Sonia Zatti, Mauro R. Benvenuti, Enrico Sartori, Franco E. Odicino, A strange case of pleuritic pain in the third trimester of pregnancy , Monaldi Archives for Chest Disease: Early Access
- Lucrezia De Michele, Paola Pierucci, Guido Giovannetti, Michele De Ceglie, Michela Dimitri, Alessandra Mirabile, Vitaliano Quaranta, Arnaldo Scardapane, Carlo D'Agostino, Giovanna Elisiana Carpagnano, Post severe COVID-19 infection lung damages study. The experience of early three months multidisciplinary follow-up , Monaldi Archives for Chest Disease: Vol. 92 No. 4 (2022)
- Anu Anna George, Kevin John John, Anil Jha, Ajay Kumar Mishra, Infections precipitating Takotsubo cardiomyopathy, an uncommon complication of a common infection , Monaldi Archives for Chest Disease: Vol. 93 No. 3 (2023)
- Matteo Vigna, Piero Ceriana, Mara Santomassimo, Michele Vitacca, Mauro Maniscalco, Nicolino Ambrosino, Effects of pulmonary rehabilitation in survivors of severe acute respiratory syndrome coronavirus 2. Role of vaccination , Monaldi Archives for Chest Disease: Early Access
- Andrea Giovanni Parato, Simone D’Agostino, Simona Pelliccioni, Maria Virginia Boni, Andrea Angelini, Francesco Sbaraglia, Vito Maurizio Parato, An incidental finding of localized aortic arch dissection in a polytraumatized patient. A case report and state of the art of non-A non-B aortic dissection , Monaldi Archives for Chest Disease: Early Access
- Dario Amore, Umberto Caterino, Dino Casazza, Riccardo Ievoli, Pasquale Imitazione, Alessandro Saglia, Alessandro Izzo, Marco Rispoli, Carlo Curcio, Persistent alveolar air leak following pulmonary lobectomy: an old problem in a modern era , Monaldi Archives for Chest Disease: Vol. 93 No. 4 (2023)
- Ravindra Nath, Nitin Panwar, Aninda Debnath, Anirban Bhaumik, Jugal Kishore, Pranav Ish, Prevalence of tuberculosis among healthcare workers in India: a systematic review and meta-analysis , Monaldi Archives for Chest Disease: Early Access
- Anshul Mittal, Megha Varshney, Vidushi Rathi, Pranav Ish, High flow nasal cannula in acute hypercapnic exacerbation of chronic obstructive pulmonary disease: an emerging utility , Monaldi Archives for Chest Disease: Vol. 90 No. 1 (2020)
- Nitesh Gupta, Pranav Ish, Rohit Kumar, Nishanth Dev, Siddharth Raj Yadav, Nipun Malhotra, Sumita Agrawal, Rajni Gaind, Harish Sachdeva, *Other members of the Safdarjung Hospital COVID 2019 working group, Evaluation of the clinical profile, laboratory parameters and outcome of two hundred COVID-19 patients from a tertiary centre in India , Monaldi Archives for Chest Disease: Vol. 90 No. 4 (2020)
<< < 18 19 20 21 22 23 24 25 26 27 > >>
You may also start an advanced similarity search for this article.
