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The Journal of Cardiovascular Surgery 2000 October;41(5):777-9

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

Congenital broncho-esophageal fistula in the adult

Inci I., Cagirici U. *, Veral A. **, Sayiner A. ***, Acper H. ****, Bilkay O. *

From the Department of Thoracic and Cardiovascular Surgery Adnan Menderes University School of Medicine Aydın, Turkey *Department of Thoracic Surgery **Department of Pathology ***Department of Chest Diseases ****Department of Radiology Ege University School of Medicine, Izmir, Turkey

The ­case of a 62-­year-old ­woman ­with a ­type II con­gen­ital ­broncho-esoph­a­geal fis­tula is pre­sented. She had had recur­rent pul­mo­nary infec­tions ­that ­were ­more prom­i­nent in the ­last 15 ­years. A ­barium ­swallow exam­ina­tion ­showed a com­mu­ni­ca­tion ­between the esoph­agus and the ­right ­lower ­lobe. ­High res­o­lu­tion com­puted tom­o­graphic ­scan of the ­chest ­revealed ­right ­middle and ­lower ­lobe bron­chiec­tasis. Bron­chos­copy was unre­mark­able. At thor­a­cotomy bron­choe­soph­a­geal fis­tula was ­divided and the esoph­a­geal end was ­repaired in two ­layered ­fashion and rein­forced by ped­i­culed ­parietal ­pleural ­flap. ­Right ­middle and ­lower lobec­to­mies ­were per­formed. Dem­on­stra­tion of the ­broncho-esoph­a­geal fis­tula and assess­ment of the ­status of the pul­mo­nary paren­chyma are impor­tant ­steps ­prior to sur­gery.