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Tracheo-esophageal fistula (TEF) is a rare but highly morbid complication of tracheal stent. In this case report we presented a challenging anesthetic management of TEF repair. An 18-year-old female patient with epilepsy diagnosis was intubated during epileptic seizure. Tracheomalasia occurred rapidly and stent placement was done inevitably. However TEF developed, rigid bronchoscopy was planned for the removal of the stent. Following premedication induction of anesthesia was done with fentanyl,doi:10.5348/100932z01hy2018cr fatcat:qnxqlqdh6jamxjpylvhwqa7awu