Type-C esophageal atresia and d-transposition of the great arteries managed by a two-step sternotomy approach: A case report
Introduction: Esophageal atresia (EA) is a common congenital abnormality typically treated through a thoracotomy approach. However, the treatment can be challenging when there are associated congenital cardiovascular anomalies. Herein, we describe the case of a newborn with EA and d-transposition of...
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| Main Authors: | , , , |
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| Format: | Book |
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Elsevier,
2023-10-01T00:00:00Z.
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| Summary: | Introduction: Esophageal atresia (EA) is a common congenital abnormality typically treated through a thoracotomy approach. However, the treatment can be challenging when there are associated congenital cardiovascular anomalies. Herein, we describe the case of a newborn with EA and d-transposition of the great arteries (d-TGA) successfully treated via a two-step median sternotomy approach. Case report: A newborn was born at 37 + 6 weeks gestation (weight of 2660 g) by cesarean section due to congenital heart disease. TGA was diagnosed by fetal echocardiogram. A postnatal contrast-enhanced chest computed tomography (CT) confirmed the diagnosis and additionally detected a type-C EA. The EA repair was done two days after birth via median sternotomy. An arterial switch operation for d-TGA was done twelve days after the EA repair through a repeat median sternotomy. Conclusion: This two-step approach might be suitable for selected patients who have combined congenital cardiovascular malformation and type-C EA. |
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| Item Description: | 2213-5766 10.1016/j.epsc.2023.102707 |