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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8014238/ https://www.ncbi.nlm.nih.gov/pubmed/33833892 http://dx.doi.org/10.1155/2021/6645518 |
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author | Rosati, Riccardo De Nardi, Paola Dell'Acqua, Antonio Calvi, Maria Rosa Elmore, Ugo Scarparo, Elena Beretta, Luigi |
author_facet | Rosati, Riccardo De Nardi, Paola Dell'Acqua, Antonio Calvi, Maria Rosa Elmore, Ugo Scarparo, Elena Beretta, Luigi |
author_sort | Rosati, Riccardo |
collection | PubMed |
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 | Online Article Text |
id | pubmed-8014238 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-80142382021-04-07 Tracheoesophageal Fistula in a COVID-19 Ventilated Patient: A Challenging Therapeutic Decision Rosati, Riccardo De Nardi, Paola Dell'Acqua, Antonio Calvi, Maria Rosa Elmore, Ugo Scarparo, Elena Beretta, Luigi Case Rep Surg Case Report 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. Hindawi 2021-03-30 /pmc/articles/PMC8014238/ /pubmed/33833892 http://dx.doi.org/10.1155/2021/6645518 Text en Copyright © 2021 Riccardo Rosati et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Rosati, Riccardo De Nardi, Paola Dell'Acqua, Antonio Calvi, Maria Rosa Elmore, Ugo Scarparo, Elena Beretta, Luigi Tracheoesophageal Fistula in a COVID-19 Ventilated Patient: A Challenging Therapeutic Decision |
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 |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8014238/ https://www.ncbi.nlm.nih.gov/pubmed/33833892 http://dx.doi.org/10.1155/2021/6645518 |
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