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The tracheo-oesophageal fistula is a severe condition endangering the patients’ live. The main cause of this condition is
the prolonged ventilation. The purpose of this paper is to present an innovative technique in treating this affection.
CASE REPORT: We present the case of a 32 years old female patient with multiple trauma due to traffic accident. The
patient was hospitalized with the diagnosis of brain injury, subarachnoid hemorrhage, and fractured femur. After 11
days of mechanical ventilation and intubation via endotracheal route, the patient was diagnosed with a large (7×3 cm)
tracheo-oesophageal fistula with dilaceration of the membranous wall of the trachea. A cervical and right thoracic approach
was performed to repair the tracheo-oesophageal fistula. The reconstruction of the membranous wall of the trachea was
performed by using heterologous bovine pericardium patch, and the of the esophageal defect using single-layer suture protected
by a heterologous bovine pericardium patch. The postoperative evolution was favorable, the patient being discharged
22 days postoperatively and in good health after 6 months.
To our knowledge this is the first reported case regarding the use of two heterologous bovine pericardium in the surgical
treatment of large tracheo-oesophageal fistula with dilaceration of the membranous wall of the trachea to reconstruct
the membranous wall of the trachea and to protect the esophageal suture.