Placement of a metallic Y stent to address a large tracheoesophageal fistula on the carina

We report a case of a 43-year-old woman who presented with a large tracheoesophageal fistula involving the main carina after chemo-radiotherapy for lung adenocarcinoma. A self-expanding fully covered metallic Y stent was placed with the use of both rigid and flexible bronchospopy and fluoroscopic guidance. An esophageal stent was placed subsequently. The patient survived 8 months without relevant symptoms.