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H-type fistula is a rare, isolated form of tracheo-oesophageal fistula (TEF). A 9-month-old girl presented with paroxysms of persistent cough related to feeds. Repeated hospitalisations, empirical antibiotics, antitubercular treatment and various investigations failed to resolve her symptoms. A barium swallow confirmed an H-type TEF (fig 1). Thoracoscopic repair was attempted, but cardiorespiratory compromise owing to leakage of …
Competing interests: None declared.