title: Long gap esophageal atresia and arterial circle of Willis variant leading to ischemic stroke during gastric transposition.
abstract: In children, strokes occur with a frequency of 2 to 13 per 100,000. Risk factors include hematological, embolic and anatomical anomalies. But often the exact cause of strokes in pediatric patients remains unclear. We report here on a patient with long gap esophageal atresia, who suffered an ischemic stroke during gastric transposition. Postoperative assessment revealed a cerebral vascular variant of the circle of Willis. Follow-up clinical controls showed a favorable course. Today, at the age of 14 months, almost no neurological deficits are evident. To the best of our knowledge, no description of vascular cerebral complications combined with esophageal atresia can be found in the literature.
authors.affiliation: Department of Pediatric Surgery, University of Leipzig, Leipzig, Germany. roman.metzger@medizin.uni-leipzig.de
authors.forename: R
authors.initials: R
authors.lastname: Metzger
authors.forename: M
authors.initials: M
authors.lastname: Schulz
authors.forename: A
authors.initials: A
authors.lastname: Neugebauer
authors.forename: O
authors.initials: O
authors.lastname: Münsterer
authors.forename: W
authors.initials: W
authors.lastname: Hirsch
authors.forename: W
authors.initials: W
authors.lastname: Kiess
authors.forename: H K-H
authors.initials: HK
authors.lastname: Till
mesh_terms: D002545:Brain Ischemia / Q000175:diagnosis / Q000209:etiology*; D002941:Circle of Willis / Q000002:abnormalities*; D004933:Esophageal Atresia / Q000601:surgery*; D005260:Female; D015391:Gastroplasty / Q000009:adverse effects*; D006801:Humans; D007223:Infant; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D007234:Infant, Premature; D018810:Magnetic Resonance Angiography; D011183:Postoperative Complications; D020521:Stroke / Q000175:diagnosis / Q000209:etiology*