Thoracoscopic repair of congenital tracheo-oesophageal fistula manifesting in an adult

Abstract

Congenital trcheo-oesophageal fistula (TOF) without oesophageal atresia is usually diagnosed and managed in the neonatal period. Its presentation in adulthood is a rarity. Traditional treatment of a TOF in adults involves its repair via a thoracotomy. We report the case of a 23-year-old man diagnosed with an H-type TOF during workup undertaken for his symptoms of gastro-oesophageal reflux. This fistula located at the level of third thoracic vertebra was repaired successfully using a thoracoscopic approach.

Keywords

• H fistula
• thoracoscopy
• trcheo-oesophageal fistula
• video assisted thoracic surgery