Abstract
Two hundred and seventy-six cases of esophageal atresia (EA) and tracheoesophageal fistula (TEF) (173 males and 103 females) were studied. A cardiovascular malformation (CVM) was the most common associated anomaly (79 cases, 32%). The most common extracardiac malformations (ECM) included skeletal, gastrointestinal, and urinary tract anomalies. There was a significantly lower mortality in patients without associated anomalies (5%) compared to those with a major CVM (41%) (P<.01) but not compared to those with a minor CVM (10%). No significant difference in survival could be attributed to the specific types of CVM, although the overall survival in those with a non-complex CVM (64%) was higher than in those with a complex CVM (12%). It was not possible to associate a particular ECM with a specific form of CVM, but the greater the number of ECMs present, the greater the likelihood of associated CVM.
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Ein, S.H., Izukawa, T., Su, WJ. et al. The influence of cardiovascular malformations on the prognosis of esophageal atresia and distal tracheoesophageal fistula. Pediatr Surg Int 4, 318–321 (1989). https://doi.org/10.1007/BF00183398
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DOI: https://doi.org/10.1007/BF00183398