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Jang Wen Su
David P. Mason
Sudish C. Murthy
Thomas W. Rice
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J Thorac Cardiovasc Surg 2008;135:706-707
© 2008 The American Association for Thoracic Surgery

Brief Communication

Closure of a large tracheoesophageal fistula using AlloDerm

Jang Wen Su, MD, David P. Mason, MD*, Sudish C. Murthy, MD, PhD, Thomas W. Rice, MD

Department of Cardiovascular and Thoracic Surgery, Cleveland Clinic Foundation, Cleveland, Ohio

Received for publication September 18, 2007; accepted for publication November 20, 2007.

* Address for reprints: David P. Mason, MD, 9500 Euclid Avenue, General Thoracic/F24, Cleveland, OH 44195. (Email: masond2@ccf.org).

The first 20% of the full text of this article appears below.

Tracheoesophageal fistula (TEF) is an uncommon but devastating complication of prolonged intubation. Pressure exerted from the cuff of an endotracheal tube against a rigid nasogastric tube causes tissue necrosis and breakdown.1Go Patients typically present with recurrent aspiration pneumonia. Urgent repair of the fistula with tissue interposition is warranted, although this can be challenging in the ventilated patient because of the need for continued positive pressure ventilation and the paucity of healthy, local tissue to fashion the repair. The present study is a case report of a 65-year-old woman in whom a large TEF developed after bilobectomy and who was successfully treated with AlloDerm (LifeCell Corporation, Branchburg, NJ), a commercially available biologic tissue. In this case, AlloDerm was used as a tissue scaffold to reconstruct the defect in . . . [Full Text of this Article]




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