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The Annals of Thoracic Surgery, Vol 47, 767-768, Copyright © 1989 by The Society of Thoracic Surgeons

ARTICLES

Gastrotracheal fistula: a late complication after transhiatal esophagectomy

IL Kron, AM Johnson and RF Morgan
Department of Surgery, University of Virginia Medical Center, Charlottesville 22908.

A 51-year-old woman underwent a transhiatal esophagectomy for a failed antireflux procedure. She did well for 15 months, when she developed evidence of hemoptysis followed by tracheogastric fistula. She underwent operative repair with the use of a pericardial patch to replace the membranous trachea and interposition of a latissimus dorsi flap to isolate the stomach from the tracheal suture line. She has done well after this operation.

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