Ma YY, Chen JR, Yang SW, Wang SY, Cao X, Wu J. Simultaneous type III congenital esophageal atresia and patent ductus arteriosus in a low-weight patient: A case report. World J Clin Cases 2024; 12(3): 560-564 [PMID: 38322470 DOI: 10.12998/wjcc.v12.i3.560]
Corresponding Author of This Article
Jun Wu, MM, Chief Doctor, Department of Cardiothoracic Surgery, Kunming Children’s Hospital, No. 288 Qianxing Road, Qianxing Community, Xishan District, Kunming 650103, Yunnan Province, China. wt19711004@qq.com
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Yong-Yu Ma, Shu-Yu Wang, Faculty of Pediatrics, Children’s Hospital Affiliated to Kunming Medical University, Kunming 650103, Yunnan Province, China
Jun-Ru Chen, Shi-Wu Yang, Xin Cao, Jun Wu, Department of Cardiothoracic Surgery, Kunming Children’s Hospital, Kunming 650103, Yunnan Province, China
Author contributions: Ma YY and Chen JR contributed to manuscript writing and editing, and data collection; Yang SW and Wang SY contributed to data analysis; Wu J and Cao X contributed to conceptualization and supervision; All authors have read and approved the final manuscript.
Supported byKunming Health Science and Technology Talent Training Project, No. 2018-SW-25.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jun Wu, MM, Chief Doctor, Department of Cardiothoracic Surgery, Kunming Children’s Hospital, No. 288 Qianxing Road, Qianxing Community, Xishan District, Kunming 650103, Yunnan Province, China. wt19711004@qq.com
Received: October 23, 2023 Peer-review started: October 23, 2023 First decision: November 28, 2023 Revised: December 11, 2023 Accepted: January 2, 2024 Article in press: January 2, 2024 Published online: January 26, 2024 Processing time: 86 Days and 20.2 Hours
Abstract
BACKGROUND
We report a low-birth-weight child (1.8 kg) with neonatal type III congenital esophageal atresia (CEA) combined with symptomatic patent ductus arteriosus (PDA). After comprehensive evaluation, esophageal anastomosis was performed on postnatal day 11 after excluding surgical contraindications, and arterial catheter ligation was performed at the same time. Concurrent surgery for CEA combined with PDA has not been clearly reported in the literature.
CASE SUMMARY
We report a 6-day-old female child with type III CEA and PDA. The patient presented with foam at the mouth after birth, cough and shortness of breath after feeding. At another hospital, she was considered to have neonatal pneumonia, neonatal jaundice and congenital heart disease and transferred to our hospital. After iodine oil radiography of the esophagus and echocardiography we confirmed diagnosis of CEA and PDA. The diameter of the PDA was 8 mm, with obvious left to right shunting. We performed right rear extrapleural orificium fistula ligation and esophageal anastomosis, and ligation of PDA via left axilla straight incision after 5 d of hospitalization. The operations were successful, and the incision healed after 12 d, and the patient was discharged. We re-examined the patient 1 mo after surgery. She did not vomit when she ate rice flour. Esophageal angiography showed no stricture of the anastomotic stoma. The patient weighed 3.2 kg.
CONCLUSION
For CEA patients with multiple risk factors, comprehensive, timely and accurate diagnosis and evaluation, and early treatment may improve prognosis.
Core Tip: Congenital esophageal atresia (CEA) is a life-threatening malformation, and early surgical anastomosis is the only treatment. Patients with CEA often have other malformations; the most common of which are cardiovascular abnormalities, such as ventricular septal defect and tetralogy of Fallot. We report a low-birth-weight infant with CEA and severe patent ductus arteriosus. Low birth weight and serious cardiac problems are key factors affecting prognosis. We performed simultaneous esophageal anastomosis and arterial catheter ligation.
