This case report describes the echocardiographic diagnosis of congenital absence of the left pericardium and an aberrant right subclavian artery in a patient with VATER association defects.
Alerts clinicians to rare coexisting anomalies in VATER association; extends case literature but leaves open systematic validation.
The VATER association denotes a nonrandom pattern of congenital malformations which typically include vertebral defects, anal atresia, tracheo-esophageal fistula, and radial and renal dysplasia. Vascular anomalies including ventricular septal defect and single umbilical artery have also been described, although the frequency of cardiovascular anomalies in this congenital association is unknown. In this report, we describe a 26-year-old patient with several VATER association defects who, in addition, was found to have congenital absence of the left pericardium and an aberrant right subclavian artery.
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Lu et al. (1994) studied this question.
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