A 60-year-old man with esophageal carcinoma in the upper 3rd underwent palliative treatment including photodynamic therapy, brachytherapy, external beam irradiation, and esophageal stenting. He developed a symptomatic malignant esophagotracheo-bronchial fistula that could not be closed by telescope-stenting in the esophagus. Implantation of a self-expanding, covered metal, tracheal bifurcation stent by flexible bronchoscopy resulted in immediate closure of the fistula with an uneventful recovery.
Lindenmann, Neuboeck, Anegg, Matzi, Maier, Smolle-Juettner, , , (2009). Self-expanding bifurcation stent for malignant esophagotracheobronchial fistula. Asian cardiovascular & thoracic annals, 2009 Jan;17(1):79-81. https://www.ncbi.nlm.nih.gov/pubmed/19515888