Perioperative care of a large left bronchoesophageal fistula complicated by achalasia cardia for video-assisted transthoracic BEF repair: A case report.

Authors

Anshul Singh, Atma Pradeep, Nishant Patel

Published in

Saudi journal of anaesthesia. Volume 20. Issue 3. Pages 702-705. Epub Jul 02, 2026.

Abstract

This case report details the anesthetic management of a young male in his early thirties presenting with a benign left-sided bronchoesophageal fistula (BEF) secondary to tuberculosis, superimposed upon type 1 achalasia cardia posted for video-assisted thoracoscopic surgery (VATS) transthoracic BEF repair. Gentle intermittent positive pressure ventilation to prevent air leakage through fistula, taking extreme aspiration precautions, and avoidance of positive pressure ventilation postoperatively is key anesthetic considerations. The feasibility of VATS repair for complex fistulas relies entirely on the anesthesiologist's ability to provide a quiet, collapsed operative field, reinforcing the symbiosis between the surgical and anesthetic teams.

PMID:
42553851
Bibliographic data and abstract were imported from PubMed on 05 Aug 2026.

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