Successful Treatment of a Recurrent Wide Tracheoesophageal Fistula With a Bioabsorbable Patch.

Battistella, Lucia; Marulli, Giuseppe; Comacchio, Giovanni Maria; Mammana, Marco; Di Gregorio, Guido; Rea, Federico · Ann Thorac Surg · 2016

case_report · Level V

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Abstract

Acquired nonmalignant tracheoesophageal fistula (TEF) is a rare condition that requires proper treatment. We present the case of a 55-year-old woman with a 4.5-cm recurrent TEF, which had developed after an attempted surgical repair. After closure of the esophageal defect in two layers, a tracheoplasty technique was used to repair the tracheal membranous wall with a synthetic bioabsorbable patch (Gore Bio-A tissue reinforcement) covered with an intercostal muscle flap. The use of Gore Bio-A tissue reinforcement is an innovative and effective method to close a wide tracheal defect while achieving a scaffold for epithelial colonization.

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