Esophageal atresia associated with a rare vascular ring and esophageal duplication diverticulum: a case report and review of the literature.
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.
Division of Pediatric Surgery, Mary Bridge Children's Hospital & Health Center, Tacoma, WA 98415, USA. Mauricio.escobar@multicare.org
Mauricio A
MA
Escobar
Karl F
KF
Welke
Randall M
RM
Holland
Michael G
MG
Caty
D004936:Diverticulum, Esophageal / Q000150:complications* / Q000601:surgery; D004933:Esophageal Atresia / Q000150:complications* / Q000601:surgery; D004947:Esophagus / Q000002:abnormalities* / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D013348:Subclavian Artery / Q000002:abnormalities* / Q000601:surgery; D014138:Tracheoesophageal Fistula / Q000150:complications* / Q000601:surgery; D054079:Vascular Malformations / Q000150:complications* / Q000601:surgery