Management of giant acquired tracheo-oesophageal fistula in a neonate using an oesophageal patch.

A neonate who underwent arterial switch operation had his postoperative course complicated by the development of tracheo-oesophageal fistula. He underwent multiple reparative procedures, ultimately requiring the oesophagus as a patch to close the large defect in the trachea and subsequent interposition of descending colon to restore the continuity of the upper gastrointestinal tract.