Unilateral repair of tracheoesophageal fistula with dilatation of incomplete subglottic stenosis

Abstract

A case of TEF along with subglottic stenosis in a patient as a result of prolong intubation. We performed left unilateral tracheal repair to avoid injury to left recurrent laryngeal nerve followed by endoscopic balloon repair of stenosis. Due to critical condition of the patient and COVID‐19 infection, she expired.

Tracheo‐esophageal fistula and pleural empyema in the course of SARS‐CoV‐2 infection—A case report

“…Unfortunately, as a result of the patient's critical condition and infection with SARS‐CoV‐2, the patient died. 10 Rosati et al describe a 52‐year‐old patient with severe respiratory failure in the course of COVID‐19, long‐term mechanically ventilated, who also developed a tracheo‐esophageal fistula. The authors suggest that the formation of TEF in patients with SARS‐CoV‐2 infection may be related to the direct attack of the virus on the cells of the upper respiratory tract, causing inflammatory infiltration on the mucosa and submucosa, which may further weaken the structure of the trachea.…”

“…Then, the stenosis site was widened endoscopically with a balloon. Unfortunately, as a result of the patient's critical condition and infection with SARS‐CoV‐2, the patient died 10 . Rosati et al describe a 52‐year‐old patient with severe respiratory failure in the course of COVID‐19, long‐term mechanically ventilated, who also developed a tracheo‐esophageal fistula.…”

Manejo quirúrgico de fístula traqueoesofágica en paciente con COVID-19

“…Tal fue el caso de nuestra paciente, en la cual se decidió realizar el procedimiento quirúrgico una vez que se había retirado la ventilación mecánica, y había completado un período de nutrición enteral en casa. 6,7 Nuestro abordaje quirúrgico fue a través de una cervicotomía transversa, ya que creemos que otorga una exposición adecuada para manipular las estructuras involucradas. El cierre de esófago y tráquea se realizó con sutura absorbible con surgete continuo en un plano de forma individual.…”