Two Cases Of Vacterl Association In Pregnancy With Lymphocyte Therapy

VACTERL association is a rare disorder with various congenital malformations. The aetiology remains unknown. Combination of at least three congenital anomalies of the following criteria is required for diagnosis: vertebral defects, anal atresia, cardiac anomalies, tracheo-esophageal fistula, renal a...

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Main Authors: Mortazavi, Seyed Mazyar, Masod Memari, Ahmadi, Hasan Ali, Zhaleh Abed
Format: Text
Language:English
Published: Zenodo 2015
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Online Access:https://dx.doi.org/10.5281/zenodo.1099293
https://zenodo.org/record/1099293
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Summary:VACTERL association is a rare disorder with various congenital malformations. The aetiology remains unknown. Combination of at least three congenital anomalies of the following criteria is required for diagnosis: vertebral defects, anal atresia, cardiac anomalies, tracheo-esophageal fistula, renal anomalies, and limb defects. The first case was 1-day old male neonate with multiple congenital anomalies was bore from 28 years old mother. The mother had history of pregnancy with lymphocyte therapy. His anomalies included: defects in thoracic and lumbar vertebral, anal atresia, bilateral hydronephrosis, atrial septal defect, and lower limb abnormality. Other anomalies were cryptorchidism and nasal canal narrowing. The second case was born with 32 weeks gestational age from mother with history of pregnancy with lymphocyte therapy. He had thoracic vertebral defect, cardiac anomalies and renal defect. diagnosis based on clinical finding is VACTERL association. Early diagnosis is very important to investigation and treatment of other coexistence anomalies. VACTERL association in mothers with history of pregnancy with lymphocyte therapy has suggested possibly of relationship between VACTERL association and this method of pregnancy. : {"references": ["Richard J. Martin. Avray A. Fanaroff. Michele C. Walsh. Neonatal \u2013\nperinatal medicine disease of fetus and infant. 9th ed. Vol. 2, Richard J,\nEd. Mosby, 2011, p. 532.", "S.A. Temtamy, J.D. Miller. Extending the scope of the VATER\nassociation: definition of the VATER syndrome. J Pediatr, 85 (1974),\npp. 345-349.", "Khoury MJ, Cordero JF, Greenberg F, James LM, Erickson JD. A\npopulation study of the VACTERL association: evidence for its etiologic\nheterogeneity. Pediatrics, 71 (1983), pp. 815\u2013820.", "Rittler M, Paz JE, Castilla EE. VACTERL association, epidemiologic\ndefinition and delineation. 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