Abstract
Fourteen patients with tracheoesophageal fistula (TEF) were treated at the department in a last one decade. Esophageal primary anastomosis was performed only in patients without symptoms of cardiac failure.
There were 6 patients associated with cardiovascular malformations, including ventricular septal defect in 2, tetralogy of Fallot in 2, tricuspid atresia, and mitral atresia and hypoplastic left heart syndrome in each one.
Four of the 6 patients underwent esophageal primary anastomosis before cardiac surgery, and 2 of the 4 were able to be followed by cardiac operation. One patient is strictly followed on an ambulat basis.
There are little patients with cardiac failure in the neonates, and most of cyanotic diseases should be able to be treated by medication. Esophageal primary anastomosis should be performed before cardiac operation, unless preoperative conditions seem to be cardiac failure.
