A Hem-o-Lok-Induced Tracheoesophageal Fistula Cured by Temporary Airway Stenting Modified With Three-Dimensional Printing

Yichao Han; Su Yang; Wei Huang; Zhongmin Wang; Hecheng Li

doi:10.1016/j.athoracsur.2018.04.037

A Hem-o-Lok-Induced Tracheoesophageal Fistula Cured by Temporary Airway Stenting Modified With Three-Dimensional Printing

Ann Thorac Surg. 2018 Oct;106(4):e219-e221. doi: 10.1016/j.athoracsur.2018.04.037. Epub 2018 May 12.

Authors

Yichao Han¹, Su Yang¹, Wei Huang², Zhongmin Wang², Hecheng Li³

Affiliations

¹ Department of Thoracic Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
² Department of Interventional Radiology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
³ Department of Thoracic Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. Electronic address: lihecheng2000@hotmail.com.

PMID: 29763597
DOI: 10.1016/j.athoracsur.2018.04.037

Abstract

We present the case of a fistula between the trachea and the esophagogastric anastomosis in a 58-year-old man after esophagectomy. A Hem-o-Lok clip (Teleflex, Morrisville, NC) used at the time to ligate the azygos vein was discovered by esophagoscopy and bronchoscopy to be eroding into both structures. A covered self-expandable Y-shaped metallic tracheobronchial stent was customized with a three-dimensional printed airway model and inserted in place with endoscopic injection of fibrin glue to the anastomotic site. The stent was withdrawn 64 days after implantation, with complete healing of the fistula.

Publication types

Case Reports

MeSH terms

Bronchi / surgery*
Bronchoscopy / methods
Esophageal Neoplasms / surgery*
Esophagectomy / adverse effects*
Esophagoscopy
Humans
Male
Middle Aged
Printing, Three-Dimensional*
Prosthesis Design
Stents*
Trachea / surgery*
Tracheoesophageal Fistula / diagnosis
Tracheoesophageal Fistula / etiology
Tracheoesophageal Fistula / surgery*