Type-C esophageal atresia and d-transposition of the great arteries managed by a two-step sternotomy approach: A case report

• Main Authors: Ping-Chung Tsai (Author), Jen-Bin Wang (Author), Shih-Yi Lo (Author), Jun-Yen Pan (Author)
• Format: Book
• Published: Elsevier, 2023-10-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 2213-5766; 10.1016/j.epsc.2023.102707
• Keywords: Newborn; Esophageal atresia; Transposition of the great arteries; Median sternotomy; Case report; Pediatrics; RJ1-570; Surgery; RD1-811
• Source: Journal of Pediatric Surgery Case Reports, Vol 97, Iss , Pp 102707- (2023)

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.