Incidence of persistent left superior vena cava in esophageal atresia

Journal of Pediatric Surgery
Nathan MoweryJay L Grosfeld

Abstract

Esophageal atresia is known to be associated with a variety of additional congenital anomalies in multiple organ systems. Emphasis on cardiovascular anomalies has been focused on aortic arch and intrinsic cardiac malformations. Persistent left superior vena cava (PLSVC) is the most common venous thoracic anomaly in the general population and creates a problem when central venous access is required. This review was undertaken to define the incidence of PLSVC in infants with esophageal atresia and to determine if any subgroup of associated anomalies poses additional risk. A retrospective, institutional review board-approved review of all children treated for esophageal atresia from 1993 to 2002 at Riley Hospital for Children was undertaken. Of 118 children, 89 had sufficient data for inclusion. Charts were reviewed for gestational age, weight, type of atresia, echocardiogram, and associated anomalies. Statistical analysis was performed using the Fisher's Exact test. Of 89 children, 8 (9.9%; confidence interval, 4%-17%) had PLSVC compared with the reported incidence of 0.3% in the general population. Presence of additional organ system anomalies did not significantly increase relative risk for PLSVC. The incidence of PLSVC is sign...Continue Reading

References

Oct 1, 1981·Journal of Pediatric Surgery·J B PhilipsE S Setzer
Jan 1, 1997·Paediatric Anaesthesia·S P Bass, A E Young
Dec 13, 1997·Journal of Pediatric Surgery·B Q QiS W Beasley

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Citations

Aug 19, 2010·Pediatric and Developmental Pathology : the Official Journal of the Society for Pediatric Pathology and the Paediatric Pathology Society·Mana Taweevisit, Paul Scott Thorner
Aug 2, 2012·World Journal of Gastroenterology : WJG·Paulo Fernando Martins PinheiroRegina Maria Pereira
Mar 30, 2007·International Journal of Cardiology·Pieter G PostemaJaroslav Hruda
Aug 4, 2011·Pediatrics International : Official Journal of the Japan Pediatric Society·Serdar KulaRana Olgunturk
Mar 23, 2017·Pediatric and Developmental Pathology : the Official Journal of the Society for Pediatric Pathology and the Paediatric Pathology Society·Vrinda NairEssa Al Awad
Jul 28, 2020·Pediatric Pulmonology·Anastassios C KoumbourlisThomas Kovesi

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