PMC5804658_01
Supplemental Digital Content 1. a. Distal migration of previously placed metallic tracheal stent into right mainstem bronchus. b Consequent high-grade right mainstem bronchostenosis (single arrow); proximal revision of metallic tracheal stent reveals large tracheo-esophageal defect and esophageal stent
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Fig1
Metallic stent was thus repositioned proximally to cover the proximal aspect of the fistula and the small mucosal ridge (see Fig. 1).
Supplemental Digital Content 2. Proximal partly obstructing granulation tissue, mucosal ridge, and new tracheoesophageal defect all due to adjacent esophageal stent
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Fig2
TEF on the posterior tracheal wall due to erosion of the proximal esophageal stent (see Fig. 2). The lumen of this stent was easily visualized bronchoscopically.
Supplemental Digital Content 3. In situ tracheal stents with infected inspissated secretions
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Fig3
These findings were consistent with stent infection and tracheobronchitis due to a gastrointestinal organism in the presence of a TEF (see Fig. 3).  
Supplemental Digital Content 4. Newly placed proximal silicon tracheal stent. a. Sealed proximal tracheoesophageal fistula. b Three telescoped tracheal stents
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Fig4
This stent succeeded in both adequately covering the granulation and sealed the proximal TEF and successfully telescoped into the previously repositioned in situ metallic stent (see Fig. 4). 