Right place, wrong pipe: A case of esophageal atresia with atypical tracheal anatomy

Abstract

Esophageal Atresia (EA) is an uncommon but serious surgical emergency that typically presents at birth. It can be managed initially with gastrostomy tube placement and a delayed repair, unlike EA with TEF which is typically corrected in the newborn phase. When EA is diagnosed, VACTERL comorbidities must be investigated to assess perioperative risk. This case presents a patient with EA who was found to have an anomalous bronchus intermedius at the carina that was diagnosed using a guidewire and fluoroscopy.