Flexible bronchoscopic cannulation of an isolated H-type tracheoesophageal fistula in a newborn.

Flore Amat (1) , Marie-Christine Heraud (1) , Thierry Scheye , Marie Canavese , André Labbé (1, 2)

1 Unité de réanimation néonatale et pédiatrique, Clermont-Ferrand, France
2 PEPRADE - Périnatalité, grossesse, Environnement, PRAtiques médicales et DEveloppement

Congenital isolated H-type tracheoesophageal fistula (H-TEF) is a rare malformation of the airways. Surgery should not be delayed once the diagnosis is established. Identification of the fistula during surgery is a prerequisite for a successful outcome. Intubation or cannulation of the H-TEF with a catheter can help the surgeon to identify the fistula. A rigid bronchoscope is generally used for cannulation of the fistula. Cannulation of an H-TEF in a newborn with a flexible bronchoscope has the merit of simplicity and safety. We report the insertion of a catheter in an isolated H-TEF in a newborn using a flexible bronchoscope and think that this method can be easily applied.

Domaines: Biologie de la reproduction

Flore Amat, Marie-Christine Heraud, Thierry Scheye, Marie Canavese, André Labbé. Flexible bronchoscopic cannulation of an isolated H-type tracheoesophageal fistula in a newborn.. Journal of Pediatric Surgery, 2012, 47 (10), pp.e9-10. ⟨10.1016/j.jpedsurg.2012.05.012⟩. ⟨hal-01045165⟩