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
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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.
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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.
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