Background: VACTERL association consists of Vertebral, Anorectal, Cardiac, Tracheo-Esophageal, Renal, and Limb defects. The diagnosis depends on the presence of at least three of these structural abnormalities. Methods: The clinical presentation and diagnostic prenatal imaging of VACTERL association are comprehensively reviewed. Results: The most common feature is a vertebral anomaly, found in 60-80% of cases. Tracheo-esophageal fistula is seen in 50-80% of cases and renal malformations in 30% of patients. Limb defects including thumb aplasia/hypoplasia, polydactyly, and radial agenesis/hypoplasia are present in 40-50% of cases. Anorectal defects, like imperforate anus/anal atresia, are challenging to detect prenatally. Conclusion: The diagnosis of VACTERL association mostly relies on imaging techniques such as ultrasound, computed tomography, and magnetic resonance. Differential diagnosis should exclude similar diseases such as CHARGE and Townes-Brocks syndromes and Fanconi anemia. New insights into genetic etiology have led to recommendations of chromosomal breakage investigation for optimal diagnosis and counseling.

Tonni, G., Koçak, C., Grisolia, G., Rizzo, G., Araujo Júnior, E., Werner, H., et al. (2023). Clinical Presentations and Diagnostic Imaging of VACTERL Association. FETAL AND PEDIATRIC PATHOLOGY, 1-24 [10.1080/15513815.2023.2206905].

Clinical Presentations and Diagnostic Imaging of VACTERL Association

Rizzo, Giuseppe;
2023-05-17

Abstract

Background: VACTERL association consists of Vertebral, Anorectal, Cardiac, Tracheo-Esophageal, Renal, and Limb defects. The diagnosis depends on the presence of at least three of these structural abnormalities. Methods: The clinical presentation and diagnostic prenatal imaging of VACTERL association are comprehensively reviewed. Results: The most common feature is a vertebral anomaly, found in 60-80% of cases. Tracheo-esophageal fistula is seen in 50-80% of cases and renal malformations in 30% of patients. Limb defects including thumb aplasia/hypoplasia, polydactyly, and radial agenesis/hypoplasia are present in 40-50% of cases. Anorectal defects, like imperforate anus/anal atresia, are challenging to detect prenatally. Conclusion: The diagnosis of VACTERL association mostly relies on imaging techniques such as ultrasound, computed tomography, and magnetic resonance. Differential diagnosis should exclude similar diseases such as CHARGE and Townes-Brocks syndromes and Fanconi anemia. New insights into genetic etiology have led to recommendations of chromosomal breakage investigation for optimal diagnosis and counseling.
17-mag-2023
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MED/40 - GINECOLOGIA E OSTETRICIA
English
VACTERL association
fetal pathology
prenatal diagnosis
ultrasound
Tonni, G., Koçak, C., Grisolia, G., Rizzo, G., Araujo Júnior, E., Werner, H., et al. (2023). Clinical Presentations and Diagnostic Imaging of VACTERL Association. FETAL AND PEDIATRIC PATHOLOGY, 1-24 [10.1080/15513815.2023.2206905].
Tonni, G; Koçak, C; Grisolia, G; Rizzo, G; Araujo Júnior, E; Werner, H; Ruano, R; Sepulveda, W; Bonasoni, Mp; Lituania, M
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/322400
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