case_images: PMC3738341_01
case_images: Chest CT scan (a) and bronchoscopy (b) shows a TEF (size = 1 cm) at the membranous portion of the carina (arrow)
case_images: 10.1258_arsr.2012.110005-fig1.jpg
case_images: PMC3738341_01_10.1258_arsr.2012.110005-fig1.jpg
case_images: ARSR-11-0005F1
case_images: Chest CT scan revealed a TEF between the mid-esophagus and the tracheal carina, and bronchoscopy demonstrated a fistula 1 cm in diameter located at the membranous portion of the carina (Fig. 1).
case_images: The esophagus dilated focally with a large diverticulum communicating directly with the carina without having a defined tract
case_images: 10.1258_arsr.2012.110005-fig2.jpg
case_images: PMC3738341_01_10.1258_arsr.2012.110005-fig2.jpg
case_images: ARSR-11-0005F2
case_images: After retrieving the tracheobronchial stent, further treatment was attempted through the use of metallic coils and cyanoacrylate glue (n-butyl cyanoacrylate [NBCA], Histoacryl-Blue, Braun, Melsungen, Germany), but these measures were also unsuccessful because the esophagus had dilated focally with a large diverticulum communicating directly with the carina without having a defined tract (Fig. 2).
case_images: Modified Y-shaped silicon stent with a longitudinal center cut (a) and bare metallic stent (b). Bare metallic stents are placed in the silicone stent to expand its lumen (c). Bronchoscopy shows the modified Y-shaped silicon stent over an expanded bare metallic stent, which covers the fistula at the level of the carina (d)
case_images: 10.1258_arsr.2012.110005-fig3.jpg
case_images: PMC3738341_01_10.1258_arsr.2012.110005-fig3.jpg
case_images: ARSR-11-0005F3
case_images: Next, two bare metallic stents were placed within the tube stent to expand its lumen (Fig. 3).