Laceration of the posterior tracheal wall is 1 of the risks of transhiatal esophagectomy (THE). Conservative treatment of tracheal injury in patients with positive pressure mechanical ventilation is, according to current opinions, ineffective. We describe a feasible method to treat an esophageal cancer patient requiring mechanical ventilation who suffered a posterior tracheal wall tear with a persistent air leak after a THE, and who was successfully weaned after a self-expanding metallic stent placement. Three months later, the stent was electively removed after adequate healing of the tracheal laceration.