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Tracheoesophageal Fistula with Tracheal Dilatation in a Patient with a Tracheostomy Using a Home Mechanical Ventilator
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±èº´ÈÆ(Kim Byoung-Hoon) - ÇѸ²´ëÇб³ °³²¼º½Éº´¿ø È£Èí±â ¾Ë·¹¸£±â³»°ú
Áֹμ±(Joo Min-Sun) - ÇѸ²´ëÇб³ °³²¼º½Éº´¿ø È£Èí±â ¾Ë·¹¸£±â³»°ú
±èÀ¯³ª(Kim Yoo-Na) - ÇѸ²´ëÇб³ °³²¼º½Éº´¿ø ¿µ»óÀÇÇаú
½ÅŸ²(Shin Tae-Rim) - ÇѸ²´ëÇб³ °³²¼º½Éº´¿ø È£Èí±â ¾Ë·¹¸£±â³»°ú
¹Ú»ó¸é(Park Sang-Myeon) - ÇѸ²´ëÇб³ °³²¼º½Éº´¿ø È£Èí±â ¾Ë·¹¸£±â³»°ú
±èµ¿±Ô(Kim Dong-Gyu) - ÇѸ²´ëÇб³ °³²¼º½Éº´¿ø È£Èí±â ¾Ë·¹¸£±â³»°ú
½ÉÀ±¼ö(Sim Yun-Su) - ÇѸ²´ëÇб³ °³²¼º½Éº´¿ø È£Èí±â ¾Ë·¹¸£±â³»°ú
Abstract
Patients with tracheostomies requiring prolonged home mechanical ventilation are increasing in number rapidly. A tracheoesophageal fistula is a relatively unusual complication, but this case resulted in a fatal outcome. We describe a tracheoesophageal fistula with tracheal dilation in a 72-year-old female who had a prolonged tracheostomy and nasogastric tube, using a home mechanical ventilator. On enhanced CT images, the tracheostomy tube was well located within the trachea with no abnormal finding. However, chest enhanced CT images obtained 5 months later showed marked circumferential wall thickening of the trachea with tiny ulceration, a markedly increased diameter of the tracheal lumen, and a tracheoesophageal fistula. In patients using home mechanical ventilators, the location and cuff pressure of the tracheostomy tube and the nasogastric tube should be evaluated routinely.
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Tracheoesophageal fistula, Tracheostomy, Mechanical ventilation
KMID :
0882420140870010087
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