Acquired Tracheoesophageal Fistula Observed during Anesthetic Induction: A case report.
10.4097/kjae.1997.33.5.984
- Author:
Chong Soo KIM
;
Young Jin LIM
;
Chung Su KIM
;
Sang Hwan DO
;
Chang Gi KIM
- Publication Type:Case Report
- Keywords:
Complication, tracheoesophageal fistula
- MeSH:
Anesthesia, General;
Aneurysm;
Early Diagnosis;
Fistula;
Gastric Dilatation;
Humans;
Intubation;
Magnetic Resonance Imaging;
Mediastinitis;
Respiratory Insufficiency;
Rupture;
Tracheoesophageal Fistula*;
Tracheotomy
- From:Korean Journal of Anesthesiology
1997;33(5):984-987
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We present a case of acquired tracheoesophageal fistula (TEF) which was found during induction of general anesthesia for clipping of aneurysm. The patient had been intubated with endotracheal tube for 10 days and then done tracheotomy for 45 days. Thereafter, TEF was confirmed by MRI and treated with fistula repair and tracheal fenestration. Acquired TEF can occur under the condition of prolonged tracheal intubation with high cuff pressure (>30 mmHg) and can also result from intratracheal neoplasm, mediastinitis, and other tracheal or esophageal damages. If unrecognized during anesthetic induction, TEF can cause gastric dilatation and rupture, pulmonary aspiration and respiratory failure. So early diagnosis and proper management is very important whenever TEF is suspected during anesthetic induction.
