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

https://doi.org/10.4081/monaldi.2018.974

Authors

  • Davide Zampieri University of Padua, Department of Cardiologic, Thoracic and Vascular Sciences, Italy.
  • Alessandro Pangoni University of Padua, Department of Cardiologic, Thoracic and Vascular Sciences, Italy.
  • Giuseppe Marulli | beppemarulli@libero.it University of Padua, Department of Cardiologic, Thoracic and Vascular Sciences, Italy. http://orcid.org/0000-0001-6570-615X
  • Federico Rea University of Padua, Department of Cardiologic, Thoracic and Vascular Sciences, Italy. http://orcid.org/0000-0001-8632-3465

Abstract

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.

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Published
2018-10-30
Info
Issue
Section
Pneumology - Case Reports
Keywords:
Aortic arch anomalies, tracheoesophageal fistula.
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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.