Abstract
Abstract Introduction: H-type fistula accounts for 5% of congenital tracheoesophageal anomalies. About 30% of these are located below the 2nd thoracic vertebra and are better repaired by a thoracic approach.1,2 We present the technique and challenges of thoracoscopic repair of a H-type tracheoesophageal (TE) fistula in a 10-year-old girl. The video run time of this video is 5 minutes 37 seconds. Materials and Methods: This 10-year-old girl presented with cough during feeding and recurrent respiratory infections from birth. A HRCT thorax revealed a H-type TE fistula below the level of the 2nd thoracic vertebra. Operative Technique: The child was anesthetized with laryngeal mask and a 14F nasogastric tube was inserted A flexible bronchoscopy confirmed the position of the fistula to be well below the suprasternal notch (by transillumination). The fistula was canulated with a flexible guidewire and the airway secured with a cuffed endotracheal tube alongside the guidewire. The child was strapped in a near lef...
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