Thorac Cardiovasc Surg 2004; 52(1): 57-59
DOI: 10.1055/s-2004-815804
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© Georg Thieme Verlag Stuttgart · New York

Closure of a Cervical H-Type Tracheoesophageal Fistula

T. Suzuki 1 , T. Narisawa 1 , H. Tanaka 1 , Y. Hirai 2 , Y. Sanada 2 , M. Chiba 2
  • 1Department of Thoracic and Cardiovascular Surgery, Showa University Fujigaoka Hospital, Yokohama, Japan
  • 2Department of Pediatric Surgery, Showa University Fujigaoka Hospital, Yokohama, Japan
Further Information

Publication History

Received September 1, 2003

Publication Date:
04 March 2004 (online)

Abstract

Congenital H-type tracheoesophageal fistulae in adults are infrequent. In surgery, the essential components (defining, cutting, and suturing the fistula, and preventive interposition of muscle flap) must be performed precisely. We undertook these procedures through a small collar incision. Based on results of preoperative images, the fistula was identified under minimum dissection between the trachea and esophagus. After cutting and suturing the fistula, a sternohyoid muscle flap was interposed.

References

  • 1 Rothenberg S S. Thoracoscopic repair of tracheoesophageal fistula in newborns.  J Pediatr Surg. 2002;  37 869-872
  • 2 Holman W L, Vaezy A, Postlethwait R W. et al . Surgical treatment of H-type tracheoesophageal fistula diagnosed in an adult.  Ann Thorac Surg. 1986;  41 453-454
  • 3 Holland A J, Ford W D, Guerin R L. Median sternotomy and use of a pedicled sternocleidomastoid muscle flap in the management of recurrent tracheoesophageal fistula.  J Pediatr Surg. 1998;  33 657-659
  • 4 Mathisen D J, Grillo H C, Wain J C. et al . Management of acquired nonmalignant tracheoesophageal fistula.  Ann Thorac Surg. 1991;  52 759-765

M. D. Takashi Suzuki

Department of Thoracic and Cardiovascular Surgery · Showa University Fujigaoka Hospital

1 - 30 Fujigaoka

Aoba-ku Yokohama 227-8501

Japan

Phone: + 81459711151

Fax: + 81 4 59 71 71 25

Email: suzuki.t@showa-university-fujigaoka.gr.jp