VACTERL association is a group of conditions a baby is born with that affect many parts of the body. VACTERL is an acronym for some of the most common conditions found as part of this syndrome:

  • V — vertebral abnormalities, such as missing vertebrae, missing ribs or curving of the spine (scoliosis)
  • A —anorectal malformation, a condition in which the anal opening is absent or in an unusual position
  • C — cardiac (heart) defects, such as ventricular septal defects, atrial septal defects and tetralogy of Fallot
  • TE — tracheal-esophageal problems, such as esophageal atresia and tracheoesophageal fistula
  • R — renal (kidney) problems, such as abnormal development of the kidneys
  • L — limb abnormalities, including underdevelopment of the forearm, missing or underdeveloped thumbs or extra fingers

Children with VACTERL association usually do not have all the conditions listed but can have three or more.

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What are the signs and symptoms of VACTERL association?

Symptoms of VACTERL association can vary widely depending on which conditions your child has. Some of the symptoms may be noticeable shortly after birth, while others may not be apparent right away.

Some symptoms in infants may include:

  • An anus that is missing or is covered with a thin layer of skin
  • Missing thumbs or extra fingers
  • A short or underdeveloped forearm
  • Trouble feeding or swallowing
  • Fast breathing or difficulty breathing

What causes VACTERL association?

Experts do not know what causes VACTERL association.

How is VACTERL association treated?

The treatment for VACTERL association can vary depending on which conditions your child has. In most cases, the conditions associated with VACTERL are not life threatening and can be treated with surgery.

The specialists at Connecticut Children’s are experienced at treating VACTERL association and will discuss specific options with your family based on your child’s specific symptoms.