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Ann Thorac Surg 1995;59:511-513
© 1995 The Society of Thoracic Surgeons


Articles

Unilateral pulmonary agenesis, esophageal atresia, and distal tracheoesophageal fistula

MD Kevin M. Steadland, MD Max R. Langham, Jr*, MD Michael A. Greene, MD Charles E. Bagwell, MD David W. Kays, MD James L. Talbert

Department of Surgery, University of Florida College of Medicine, Gainesville, Florida, USA

Accepted for publication May 19, 1994.

* Address reprint requests to Dr Langham, Department of Surgery, University of Florida, PO Box 100286, JHMHC, Gainesville, FL 32610-0286.

A small-for-gestational-age, premature infant with the combination of unilateral pulmonary agenesis, esophageal atresia, and distal tracheoesophageal fistula was treated successfully by early gastrostomy and delayed fistula division with esophagoesophagostomy. Only 2 other successfully treated cases have been reported previously. Both were full-term infants treated with early division of the tracheoesophageal fistula and esophagoesophagostomy. Gestational age, size, and associated medical problems need to be considered when planning operative therapy for these babies.




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