Cover Image

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

Davide Zampieri, Alessandro Pangoni, Giuseppe Marulli, Federico Rea
  • 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

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.

Keywords

Aortic arch anomalies; tracheoesophageal fistula.

Full Text:

PDF
Submitted: 2018-06-14 11:39:05
Published: 2018-10-30 13:57:38
Search for citations in Google Scholar
Related articles: Google Scholar
Abstract views:
33

Views:
PDF
7

Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM


Copyright (c) 2018 Davide Zampieri, Alessandro Pangoni, Giuseppe Marulli, Federico Rea

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
 
© PAGEPress 2008-2018     -     PAGEPress is a registered trademark property of PAGEPress srl, Italy.     -     VAT: IT02125780185     •     Privacy