We present a case of a 77-year-old man who had a large tracheal fistula due
to descending necrotizing mediastinitis. He underwent long-term care with
a respirator after mediastinal drainage operations. The fistula was covered
spontaneously with the anterior wall of the esophagus 1.5 months postopera
tively. (C) 2000 by The Society of Thoracic Surgeons.