Tracheoesophageal Fistula in a COVID-19 Ventilated Patient: A Challenging Therapeutic Decision
COVID-19 associated severe respiratory failure frequently requires admission to an intensive care unit, tracheal intubation, and mechanical ventilation. Among the risks of prolonged mechanical ventilation under these conditions, there is the development of tracheoesophageal fistula. We describe a ca...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-01-01
|
| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2021/6645518 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832547746513420288 |
|---|---|
| author | Riccardo Rosati Paola De Nardi Antonio Dell’Acqua Maria Rosa Calvi Ugo Elmore Elena Scarparo Luigi Beretta |
| author_facet | Riccardo Rosati Paola De Nardi Antonio Dell’Acqua Maria Rosa Calvi Ugo Elmore Elena Scarparo Luigi Beretta |
| author_sort | Riccardo Rosati |
| collection | DOAJ |
| description | COVID-19 associated severe respiratory failure frequently requires admission to an intensive care unit, tracheal intubation, and mechanical ventilation. Among the risks of prolonged mechanical ventilation under these conditions, there is the development of tracheoesophageal fistula. We describe a case of a severe COVID-19 associated respiratory failure, who developed a tracheoesophageal fistula. We hypothesized that one of the mechanisms for tracheoesophageal fistula, along with other local and general risk factors, is the local infection due to the location of the virus itself in the tracheobronchial tree. The patient was managed successfully with surgical intervention. This case highlights the increased risk of this potentially life-threatening complication among the COVID-19 patient cohort and suggests a management strategy. |
| format | Article |
| id | doaj-art-ef52b80cd935406fa55ba07f5783d8b2 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-ef52b80cd935406fa55ba07f5783d8b22025-02-03T06:43:34ZengWileyCase Reports in Surgery2090-69002090-69192021-01-01202110.1155/2021/66455186645518Tracheoesophageal Fistula in a COVID-19 Ventilated Patient: A Challenging Therapeutic DecisionRiccardo Rosati0Paola De Nardi1Antonio Dell’Acqua2Maria Rosa Calvi3Ugo Elmore4Elena Scarparo5Luigi Beretta6Gastrointestinal Surgery, IRCCS San Raffaele Scientific Institute, Milan, ItalyGastrointestinal Surgery, IRCCS San Raffaele Scientific Institute, Milan, ItalyDepartment of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute Milan, ItalyDepartment of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute Milan, ItalyGastrointestinal Surgery, IRCCS San Raffaele Scientific Institute, Milan, ItalyDepartment of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute Milan, ItalySchool of Medicine, Vita-Salute San Raffaele University, Milan, ItalyCOVID-19 associated severe respiratory failure frequently requires admission to an intensive care unit, tracheal intubation, and mechanical ventilation. Among the risks of prolonged mechanical ventilation under these conditions, there is the development of tracheoesophageal fistula. We describe a case of a severe COVID-19 associated respiratory failure, who developed a tracheoesophageal fistula. We hypothesized that one of the mechanisms for tracheoesophageal fistula, along with other local and general risk factors, is the local infection due to the location of the virus itself in the tracheobronchial tree. The patient was managed successfully with surgical intervention. This case highlights the increased risk of this potentially life-threatening complication among the COVID-19 patient cohort and suggests a management strategy.http://dx.doi.org/10.1155/2021/6645518 |
| spellingShingle | Riccardo Rosati Paola De Nardi Antonio Dell’Acqua Maria Rosa Calvi Ugo Elmore Elena Scarparo Luigi Beretta Tracheoesophageal Fistula in a COVID-19 Ventilated Patient: A Challenging Therapeutic Decision Case Reports in Surgery |
| title | Tracheoesophageal Fistula in a COVID-19 Ventilated Patient: A Challenging Therapeutic Decision |
| title_full | Tracheoesophageal Fistula in a COVID-19 Ventilated Patient: A Challenging Therapeutic Decision |
| title_fullStr | Tracheoesophageal Fistula in a COVID-19 Ventilated Patient: A Challenging Therapeutic Decision |
| title_full_unstemmed | Tracheoesophageal Fistula in a COVID-19 Ventilated Patient: A Challenging Therapeutic Decision |
| title_short | Tracheoesophageal Fistula in a COVID-19 Ventilated Patient: A Challenging Therapeutic Decision |
| title_sort | tracheoesophageal fistula in a covid 19 ventilated patient a challenging therapeutic decision |
| url | http://dx.doi.org/10.1155/2021/6645518 |
| work_keys_str_mv | AT riccardorosati tracheoesophagealfistulainacovid19ventilatedpatientachallengingtherapeuticdecision AT paoladenardi tracheoesophagealfistulainacovid19ventilatedpatientachallengingtherapeuticdecision AT antoniodellacqua tracheoesophagealfistulainacovid19ventilatedpatientachallengingtherapeuticdecision AT mariarosacalvi tracheoesophagealfistulainacovid19ventilatedpatientachallengingtherapeuticdecision AT ugoelmore tracheoesophagealfistulainacovid19ventilatedpatientachallengingtherapeuticdecision AT elenascarparo tracheoesophagealfistulainacovid19ventilatedpatientachallengingtherapeuticdecision AT luigiberetta tracheoesophagealfistulainacovid19ventilatedpatientachallengingtherapeuticdecision |