Successful endobronchial treatment of a non-healing tracheoesophageal fistula from a previous histoplasmosis capsulatum infection using decellularized porcine urinary bladder matrix†

Journal of Surgical Case Reports
Amit K MahajanSandeep J Khandhar

Abstract

Tracheoesophageal fistulas (TEF) are pathologic communications between the esophagus and the trachea or bronchi. The development of a TEF can result from malignant or benign etiologies. A common approach for the treatment of TEFs is the placement of endobronchial and esophageal stents to facilitate healing of the communication. This case report describes the successful treatment of a TEF resulting from calcified mediastinal lymphadenopathy due to a previous Histoplasmosis capsulatum infection. In addition to placement of endobronchial and esophageal stents, the non-healing TEF was treated with ACell (Gentrix®) decellularized porcine urinary bladder matrix to facilitate complete closure of the fistulous tract.

References

Apr 1, 1993·The Annals of Thoracic Surgery·L M GudovskyM I Perelman
Apr 8, 1998·The British Journal of Surgery·H E BartelsJ R Siewert
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Aug 8, 2007·General Thoracic and Cardiovascular Surgery·Masahiro MitsuokaTsuyoshi Itoh

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