Case: A male baby was delivered with C/S at 39 gestational weeks, presented with choking,cyanotic episodes while breastfeeding since postnatal first day. There was no consanguineous marriage between parents.Fallot tetralogy was diagnosed in the patient after an ECHO screening. Symptoms like choking, cyanotic episodes and coughing were attributed to the cardiac anomaly firstly. No other system abnormalities were detected. Contrast swallow study was performed on the postnatal 45th day of the patient. After suspicious TEF appearance on the esophagogram, the patient was referred to our center and presence of TEF was confirmed by tracheobronchoscopy following the catheterization of the fistula.Fistula was located over the C2, which we determined by scopy. TEF repair was performed with a right anterior cervical approach,on the day of 62nd postnatal day. The patient was followed up in the intensive care unit and discharged on postoperative 7th day without any problem. Patient is being followed up and has no complaints.
Conclusion: The diagnosis of TEF is highly suspected but it is rare.Diagnosis of TEF may be delayed due to anomalies especially related to cardiac system. Contrast swallowing studies should be considered for diagnosis. In suspicious cases,tracheobronchoscopy should be preferred for both diagnosis and surgical planning. For the babies having respiratory distress, feeding difficulties, isolated TEF which is often accompanied with cardiac anomalies, should be kept in mind.
Keywords: Tracheoesophageal fistula, H-type fistula, Fallot tetralogy
Anahtar Kelimeler: Trakeoözofagial fistül, H-tipi fistül, Fallot tetralojisi