Abstract
This paper describes three patients of tracheoesophageal fistula (TEF) associated with right aortic arch (RAA) (2) and dextrocardia(1). In those with RAA, the association of RAA had not been recognized prior to the repair of TEF. In the first patient, esophageal anostomosis was primarily carried out at the lateral side of the right descending aorta, which has required a revision of anastomosis in the aortic window. The experience in this patient has suggested the importance of anatomical orientation of the mediastinal structures in this form of anomaly. The second patient was successfully treated for TEF with an esophageal anastomosis in the aortic window. In these patients, all procedures were carried out by the right thoracic approach, but there was no technical difficulty. These two patients have subsequently required a sternal aortopexy for persisting tracheal obstruction that has been successfully released. In the patient with dextrocardia, an extrapleural approach in the left thorax was successful for repair of TEF.
