Crisi d'ennuegament en un lactant: Fístula traqueoesofàgica en H

Introduction. Type H tracheoesophageal fistulas (TEF) are rare congenital malformations that may be associated to other structural anomalies. Their diagnosis may be delayed due to the non-specific clinical manifestations. Surgery is the mainstay of therapy, although recent data suggests that laser vaporization is a promising alternative. Clinical observation. We present the case of a one-month-old infant with repeat episodes of cough and cyanosis since birth. Given the high suspicion for a TEF a dynamic esophagogram was performed, which showed flow of contrast from the digestive tract to the trachea through a small fistula. The diagnosis of type H TEF was confirmed by tracheobronchoscopy, and the patient was successfully treated with laser vaporization. Comments. We highlight the importance of clinical suspicion in the diagnosis of type H TEF as well as their good outcome after laser vaporization.