Article: The surgical approach of late-onset tracheoesophageal fistula in a tracheostomized COVID-19 patient.
Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace
2023 Volume 93, Issue 4
Abstract: 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 ... ...
| Abstract | 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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| MeSH term(s) | Female ; Humans ; Middle Aged ; Tracheoesophageal Fistula/surgery ; Tracheoesophageal Fistula/etiology ; Anastomosis, Surgical/adverse effects ; COVID-19/complications ; Trachea/surgery |
| Language | English |
| Publishing date | 2023-02-07 |
| Publishing country | Italy |
| Document type | Case Reports ; Journal Article |
| ZDB-ID | 1160940-0 |
| ISSN | 1122-0643 ; 1120-0391 |
| ISSN | 1122-0643 ; 1120-0391 |
| DOI | 10.4081/monaldi.2023.2490 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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