An 8-day-old female neonate was referred to pediatric surgical services for regurgitation of feeds since birth. Plain x-ray of the chest and abdomen with Ryle's tube in situ and contrast study confirmed the diagnosis of esophageal atresia at the cardiac end of the esophagus. The membrane at the cardiac end of the esophagus was excised employing a thoracoabdominal approach. This is the first case report of membranous type of esophageal atresia at the cardiac end of the esophagus to be reported in the English literature.
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