Neonatal Presentation of Radial Aplasia, Tracheoesophageal Fistula, and Ventricular Septal Defect: An Illustrative Case of Vacterl Association

The VACTERL association refers to a collection of congenital anomalies that typically affect the vertebral column (V), anus (A), cardiovascular system (C), tracheoesophageal structures (TE), renal and urinary tract (R), and limbs (L). The diagnosis is considered when a patient has defects in at least three of these systems. This multisystem disorder can be life-threatening if not identified and managed early. Prompt and thorough evaluation is crucial to reduce long-term complications and morbidity. Here, we describe the case of a neonate born from a twin pregnancy at 38 weeks’ gestation, with antenatal findings of severe polyhydramnios and a single umbilical artery and vein. This report focuses on the imaging characteristics of congenital cardiac, skeletal, and tracheoesophageal abnormalities in this infant.