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Acquired tracheoesophageal fistulas can lead to large defects with fatal complications. Surgical management is challenging but necessary to prevent respiratory infections and poor weight gain. Therefore, a reliable and pliable flap like the pedicled supraclavicular artery island flap with its wide arc of rotation and robust vascularization is needed for reconstruction. We highlight the surgical technique and postoperative measures in managing a tracheoesophageal fistula due to button battery ingestion in a 9-month-old boy with the supraclavicular artery island flap. In summary, the supraclavicular artery island flap is a safe and successful tool for closure of large acquired tracheoesophageal fistulas in pediatric patients.
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http://dx.doi.org/10.1097/GOX.0000000000005250 | DOI Listing |
Int J Surg Case Rep
September 2025
Vascular and Endovascular Department, CHU Ibn Sina Souissi, University Hospital Center IBN SINA, University Mohammed V, Rabat, Morocco. Electronic address:
Introduction: Pseudoaneurysm of the right subclavian artery is very rare, and its most serious complication is rupture, which is unpredictable and fatal. Among the infectious causes, tuberculous pseudoaneurysms represent an exceptionally rare but significant subset, arising from the direct invasion of the arterial wall by Mycobacterium tuberculosis.
Case Report: We present the case of a 60-year-old hypertensive male diagnosed with a right subclavian artery septic pseudoaneurysm, which is rare but serious, often resulting from an infection that weakens the arterial wall.
World J Clin Oncol
August 2025
Department of Otolaryngology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, Zhejiang Province, China.
Background: Tracheoesophageal fistula (TEF) is a life-threatening complication of advanced esophageal squamous cell carcinoma (ESCC). Cervical ESCC is rare and frequently diagnosed at an advanced stage. Managing cervical esophageal cancer (CEC) is challenging, requiring intervention by a multidisciplinary team (MDT) and innovative surgical management.
View Article and Find Full Text PDFRev Esp Anestesiol Reanim (Engl Ed)
August 2025
Department of Anesthesia and Critical Care Medicine, Cairo University, Cairo, Egypt.
Background: Supraclavicular brachial plexus block offers several advantages over general anesthesia, yet segmental ulnar sparing is one of the procedure's key drawbacks. Many parameters were proposed to ascertain segmental ulnar sparing, including thermal imaging and perfusion index. However, none proved optimal; therefore, we aimed to evaluate ulnar artery Doppler indices as a potential predictor of segmental ulnar sparing.
View Article and Find Full Text PDFIndian J Thorac Cardiovasc Surg
September 2025
Department of Vascular and Endovascular Surgery, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, India.
Unlabelled: Iatrogenic complications provide insight into the limitations of procedures. Complications associated with insertion of permanent dialysis catheter are numerous but central arterio-venous fistulas (cAVF) are a rarity. Our case reports a cAVF between the innominate vessels post insertion of a tunneled hemo-dialysis central venous catheter (HD-CVC) via left internal jugular vein (IJV) in a 43-year-old female.
View Article and Find Full Text PDFJ Thorac Dis
July 2025
Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Background: Thoracic outlet syndrome (TOS) is a group of disorders caused by compression of the neurovascular bundle as it exits the thoracic outlet. The treatment involves first rib resection (FRR) via open surgery or minimally invasive surgery. This study compares the surgical outcomes of the supraclavicular approach and robotic-assisted thoracic surgery (RATS).
View Article and Find Full Text PDF