Esophageal atresia associated with a rare vascular ring and esophageal duplication diverticulum: A case report and review of the literature

Abstract Esophageal atresia with tracheoesophageal fistula (EA-TEF) associated with a right aortic arch poses a dilemma to the pediatric surgeon, often necessitating an operative approach via a left thoracotomy. A right aortic arch may be associated with a vascular ring, and EA-TEF, too, has been re...

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Bibliographic Details
Published in:Journal of pediatric surgery 2012-10, Vol.47 (10), p.1926-1929
Main Authors: Escobar, Mauricio A, Welke, Karl F, Holland, Randall M, Caty, Michael G
Format: Article
Language:English
Subjects:
Diverticulum of Kommerell
Diverticulum, Esophageal - complications
Diverticulum, Esophageal - surgery
Esophageal atresia
Esophageal Atresia - complications
Esophageal Atresia - surgery
Esophageal lung
Esophagus - abnormalities
Esophagus - surgery
Humans
Infant, Newborn
Pediatrics
Subclavian Artery - abnormalities
Subclavian Artery - surgery
Surgery
Tracheobronchial remnants
Tracheoesophageal fistula
Tracheoesophageal Fistula - complications
Tracheoesophageal Fistula - surgery
Vascular Malformations - complications
Vascular Malformations - surgery
Vascular ring
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Summary:Abstract Esophageal atresia with tracheoesophageal fistula (EA-TEF) associated with a right aortic arch poses a dilemma to the pediatric surgeon, often necessitating an operative approach via a left thoracotomy. A right aortic arch may be associated with a vascular ring, and EA-TEF, too, has been reported in association with a vascular ring. Rarely, esophageal atresia is associated with a second esophageal anomaly, such as a so-called “esophageal lung.” To our knowledge, there is no report of all three in one patient. We report the first case of a patient with associated EA-TEF, vascular ring (diverticulum of Kommerell), and esophageal lung. The literature is reviewed for these rare entities.
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2012.07.051