Surgical repair of mechanical ventilation induced tracheoesophageal fistula

A case of acquired tracheoesophageal fistula (TEF) is presented in a 44-year-old female who presented with acute respiratory failure due to bilateral aspiration pneumonia. The patient had persistent air leak while on mechanical ventilation and underwent bronchoscopy which revealed the above etiology. Histopathology showed Barrett's esophagitis. The patient underwent primary closure followed by a short course of proton pump inhibitors. There are only two prior reported cases of acquired TEF associated with Barrett's esophagitis. This condition should be taken under consideration when investigating of an explained persistent air leak in a mechanically ventilated patient.

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Risk factors for prolonged mechanical ventilation after surgical repair of congenital heart disease. Experience from a single cardiac center

Saudi Medical Journal ◽

10.15537/smj.2019.4.23682 ◽

2019 ◽

Vol 40 (4) ◽

pp. 367-371 ◽

Cited By ~ 4

Author(s):

Sulaiman Alrddadi ◽

Mohamed Morsy ◽

Jehad Albakri ◽

Moneer Mohammed ◽

Ghassan Alnajjar ◽

...

Keyword(s):

Risk Factors ◽

Mechanical Ventilation ◽

Congenital Heart Disease ◽

Heart Disease ◽

Congenital Heart ◽

Surgical Repair ◽

Prolonged Mechanical Ventilation ◽

Disease Experience ◽

Cardiac Center

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Tracheoesophageal Fistula and Massive Pneumoperitoneum After Prolonged Mechanical Ventilation

Southern Medical Journal ◽

10.1097/00007611-200110000-00017 ◽

2001 ◽

Vol 94 (10) ◽

pp. 1027-1029

Author(s):

P DILEEP KUMAR ◽

JON RAINEY ◽

BERNARD KOTTON

Keyword(s):

Mechanical Ventilation ◽

Tracheoesophageal Fistula ◽

Prolonged Mechanical Ventilation

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Tracheoesophageal fistula due to prolonged mechanical ventilation

Archivos de Bronconeumología (English Edition) ◽

10.1016/j.arbr.2020.07.001 ◽

2020 ◽

Vol 56 (9) ◽

pp. 593

Author(s):

Rafael Perera Louvier ◽

Cristina Benito Bernáldez ◽

Jesús Fernando Sánchez Gómez

Keyword(s):

Mechanical Ventilation ◽

Tracheoesophageal Fistula ◽

Prolonged Mechanical Ventilation

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

Monaldi Archives for Chest Disease ◽

10.4081/monaldi.2018.974 ◽

2018 ◽

Vol 88 (3) ◽

Cited By ~ 1

Author(s):

Davide Zampieri ◽

Alessandro Pangoni ◽

Giuseppe Marulli ◽

Federico Rea

Keyword(s):

Mechanical Ventilation ◽

Aortic Arch ◽

Surgical Approach ◽

Tracheoesophageal Fistula ◽

Prolonged Mechanical Ventilation ◽

Vascular Ring ◽

Invasive Ventilation ◽

Fistula Repair ◽

Nasogastric Tubes ◽

Operative Closure

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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Sealing of a Tracheoesophageal Fistula Using a Sengstaken-Blakemore Tube for Mechanical Ventilation During General Anesthesia

Anesthesia & Analgesia ◽

10.1213/ane.0b013e3181684fbb ◽

2008 ◽

Vol 106 (4) ◽

pp. 1218-1219 ◽

Cited By ~ 1

Author(s):

Junya Nakada ◽

Sayo Nagai ◽

Masao Nishira ◽

Renko Hosoda ◽

Tatsuya Matsura ◽

...

Keyword(s):

Mechanical Ventilation ◽

General Anesthesia ◽

Tracheoesophageal Fistula

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Lymphoma Involving the Esophagus

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348949410301103 ◽

1994 ◽

Vol 103 (11) ◽

pp. 843-848 ◽

Cited By ~ 27

Author(s):

Laura J. Orvidas ◽

Thomas V. McCaffrey ◽

Jean E. Lewis ◽

Paul J. Kurtin ◽

Thomas M. Habermann

Keyword(s):

Vocal Cord ◽

Tracheoesophageal Fistula ◽

Esophageal Stricture ◽

Surgical Repair ◽

Vocal Cord Paralysis ◽

Gastroesophageal Junction ◽

The Other ◽

Diagnosis And Management ◽

Esophageal Involvement ◽

Mediastinal Adenopathy

Fewer than 1% of all lymphomas involve the esophagus; however, lymphoma of the esophagus represents an important cause of dysphagia. This study reviewed all cases of biopsy-proven lymphoma involving the esophagus presenting at our institution between 1945 and 1992. Twenty-seven cases were identified. Three were primary esophageal lymphomas. Eleven percent of the cases represented Hodgkin's disease. Eighty-nine percent were non-Hodgkin's lymphoma. Eighty-nine percent of the patients experienced dysphagia. Eleven lymphomas (41%) were located at the gastroesophageal junction, while the other 17 were in the esophagus proper. Seven of these cases occurred at relapse. Three had mediastinal adenopathy with secondary esophageal involvement Morbidity included tracheoesophageal fistula in 22%, and surgical repair was performed in half of these cases. Vocal cord paralysis occurred in 22%, with minimal sequelae. Esophageal stricture was present in 30%, usually necessitating dilation. The presentation, diagnosis, and management of this problem are multidisciplinary.

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