Tracheal Atresia, Proximal Esophageal Atresia, and Distal Tracheoesophageal Fistula: Report of Two Cases and Review of Literature

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Abstract
Two cases with unusual primitive foregut anomalies are described. Both children, born within 24 h of each other, had complete tracheal atresia, proximal esophageal atresia and distal tracheoesophageal fistula along with some minor anomalies; both needed immediate tracheostomy for adequate ventilation. At 15 mo. of age, both patients are thriving and developing normally with the exception of their speech. A literature review revealed no other survivors with this condition. Diagnosis of tracheal atresia should be kept in mind when a newborn infant exhibits respiratory distress without an audible cry associated with failure to advance the endotracheal tube beyond the vocal cords. An immediate tracheostomy can be lifesaving in these children.

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