TEF: Other abnormalities

Advanced, Clinical - Cardiovascular, Pediatrics

Other Congenital anomalies associated with tracheoesophageal fistula (TEF) include VATER and VACTERL associations.


  • V – Vertebral anomalies
  • A – Anal atresia
  • C – Cardiovascular anomalies
  • T – Tracheoesophageal fistula
  • E – Esophageal atresia
  • R – Renal (Kidney) and/or radial anomalies
  • L – Limb defects

VACTERL – VATER + C, cardiac, L, limb anomalies

TEF results from failure of division of the foregut from the larynx. About 20% of infants with TEF will have other congenital anomalies. These include :

Cardiac disease (35% of infants with TEF) includes VSD, ASD, Tetralogy of Fallot, AV canal, coarctation of the aorta

Renal or GU anomalies occur in 24%

Limb or skeletal anomalies occur in 13%

TEF repair is urgent, and may be emergent if the respiratory insufficiency is so severe that it would require ventilatory support.


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