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: 858
PDF: 228
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
- Venugopal Jaganathan, Santhakumar Subramanian, Deepak T Hari, Recurrent tracheal tumor with a critical airway requiring ‘Y’ stent – unique presentation of tuberculosis , Monaldi Archives for Chest Disease: Vol. 91 No. 3 (2021)
- Luigi Pinto, Pietro Schino, Michele Bitetto, Ersilia Tedeschi, Michele Maiellari, Giancarlo De Leo, Elena Ludovico, Giovanni Larizza, Franco Mastroianni, Fibrotic outcomes from SARS-CoV-2 virus interstitial pneumonia , Monaldi Archives for Chest Disease: Early Access
- Ekta Gupta, Pooja Singh, Sunaina Tejpal Karna, Yogesh Niwariya, Vaishali Waindeskar, Sourabh Jain, Rajesh Panda, Sandeep Kumar, Comparison of lung ultrasound technique versus clinical method to evaluate the accuracy of size and placement of left endobronchial double lumen tube in patients undergoing elective thoracic surgery: a prospective observational study , Monaldi Archives for Chest Disease: Vol. 94 No. 3 (2024)
- A. Estella, L. Pérez Bello Fontaiña, Sea drowning: a case report and review of the literature , Monaldi Archives for Chest Disease: Vol. 75 No. 2 (2011): Pulmonary series
- Paola Pierucci, Lucrezia De Michele, Maria Luisa de Candia, Federica Barratta, Cesare Gregoretti, Giovanna Elisiana Carpagnano, Giovanni Misseri, SARS-CoV-2 pneumonia and Eisenmenger’s syndrome: doubling the challenge , Monaldi Archives for Chest Disease: Vol. 94 No. 4 (2024)
- Zain Ahmad Khan, Akbar Shoukat Ali, Imran Ahmed, Joveria Farooqi, Muhammad Irfan, Frequency of viral etiology in community-acquired pneumonia , Monaldi Archives for Chest Disease: Early Access
- Angel Estella, Usefulness of CURB-65 and Pneumonia Severity Index for Influenza A H1N1v pneumonia , Monaldi Archives for Chest Disease: Vol. 77 No. 3-4 (2012): Pulmonary series
- M. Lusuardi, F. Blasi, C. Terzano, C. Cricelli, N. Crispino, L. Comarella, F. De Benedetto, C.M. Sanguinetti, L. Allegra, C.F. Donner, Standards of care and clinical predictors in patients hospitalised for a COPD exacerbation - The Italian SOS (Stratification Observational Study) , Monaldi Archives for Chest Disease: Vol. 71 No. 4 (2009): Pulmonary series
- Tarun Krishna Boppana, Saurabh Mittal, Karan Madan, Anant Mohan, Vijay Hadda, Pawan Tiwari, Randeep Guleria, Steroid therapy for COVID-19: A systematic review and meta-analysis of randomized controlled trials , Monaldi Archives for Chest Disease: Vol. 91 No. 4 (2021)
- Filippo M. Sarullo, Luigi Americo, Salvatore Accardo, Sergio Cicero, Rossella Schicchi, Maria Schirò, Antonio Castello, Tako-tsubo cardiomyopathy observed in a patient with sepsis and transient hyperthyroidism , Monaldi Archives for Chest Disease: Vol. 72 No. 1 (2009): Cardiac series
<< < 4 5 6 7 8 9 10 11 12 13 > >>
You may also start an advanced similarity search for this article.
