Management of giant acquired tracheo-oesophageal fistula in a neonate using an oesophageal patch.
نویسندگان
چکیده
A neonate who underwent arterial switch operation had his postoperative course complicated by the development of tracheo-oesophageal fistula. He underwent multiple reparative procedures, ultimately requiring the oesophagus as a patch to close the large defect in the trachea and subsequent interposition of descending colon to restore the continuity of the upper gastrointestinal tract.
منابع مشابه
Peri-operative management of a neonate with tracheo-oesophageal fistula and anorectal malformation: Survival of the fittest
Oesophageal atresia (OA) with tracheo‐oesophageal fistula (TOF) is a rare congenital anomaly usually seen in association with the VACTERL spectrum of disorders in neonates.[1] Management of these groups of anomalies is generally an early surgical intervention in most cases. Majority of neonates are managed with a palliative procedure until fit for a definitive surgery.[2] Isolated case reports ...
متن کاملThe management of congenital oesophageal atresia and tracheo-oesophageal fistula.
Interest in the surgical treatment of congenital atresia of the oesophagus was aroused in this country by the publication of Franklin's paper (1947) in which he reported two infants with oesophageal atresia and tracheo-oesophageal fistula successfully operated on by the extra-pleural approach. The fistula was closed and primary oesophageal anastomosis was performed. Franklin estimated the occur...
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Acquired tracheo-oesophageal fistula (TEF) after tracheostomy is a life threatening complication and can occur in about 1% of cases of tracheostomy. Percutaneous tracheostomy was performed in intensive care unit on a 40 years male patient for long-term mechanical ventilation. Subsequently patient developed TEF as the complication of tracheostomy. He was initially managed with endoscopically ins...
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Benign acquired tracheo-oesophageal fistula is an uncommon lesion. Trauma and infection have been the most common causes noted in several series.' -3 Traumatic causes include oesophagoscopy or bronchoscopy; complications of tracheostomy; and blunt, crushing, or penetrating injuries to the neck or chest. Foreign body ingestion or aspiration and lye ingestion are other reported causes.4 We have r...
متن کاملThe management of infants with tracheo-oesophageal fistula.
OF ALL the congenital anomalies found in the newborn, no~e Prlesents a greater challenge to the surgical team than the correction of traehe~-oespphageal fistula. Because of a number of problems peculiar to this condition which influence the anaesthetic and postopera~tive management and which are su~erim' posed upon the problems of anaesthesia in the neonate in general, a detailed description of...
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عنوان ژورنال:
- Interactive cardiovascular and thoracic surgery
دوره 2 4 شماره
صفحات -
تاریخ انتشار 2003