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Mediastinal Migration of Self-Expanding Bronchial Stents in the Management of Malignant Bronchoesophageal Fistula

Saleh Alazemi, MD; Sumit Chatterji, MD; Armin Ernst, MD, FCCP; David Berkowitz, MD; Gaetane Michaud, MD, FCCP;; Adnan Majid, MD
Author and Funding Information

*From the Department of Interventional Pulmonary Medicine (Drs. Alazemi, Ernst, Berkowitz, Michaud, and Majid), Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA; and Respiratory Medicine Directorate (Eastern Deanery) [Dr. Chatterji], Ida Darwin Site, Fulborn, Cambridge, UK.

Correspondence to: Adnan Majid, MD, Beth Israel Deaconess Medical Center, Harvard Medical School, One Deaconess Rd, Deaconess Building 201-A, Boston, MA 02215; e-mail: amajid@bidmc.harvard.edu


The authors have reported to the ACCP that no significant conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/site/misc/reprints.xhtml).


© 2009 American College of Chest Physicians


Chest. 2009;135(5):1353-1355. doi:10.1378/chest.08-2066
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Airway stents are commonly used to palliate malignant central airway obstruction and tracheo-/bronchoesophageal fistulas. Despite their efficacy in immediately relieving airway obstruction, they can be associated with a variety of complications. We report the case of a 44-year-old woman with a malignant bronchoesophageal fistula treated initially with a self-expanding silicone mesh stent in the left main bronchus followed 2 weeks later by an esophageal stent. Shortly afterward, she presented with chest pain, worsening cough, and breathlessness. A CT scan of the chest revealed the airway stent in the contralateral mediastinum perforating the right main bronchus. We discuss her subsequent management and complications associated with self-expanding airway stents in this setting.

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