Eur J Pediatr Surg 2008; 18(2): 121-122
DOI: 10.1055/s-2007-965745
Case Report

© Georg Thieme Verlag KG Stuttgart · New York

Long Gap Esophageal Atresia and Arterial Circle of Willis Variant Leading to Ischemic Stroke during Gastric Transposition

R. Metzger1 , M. Schulz2 , A. Neugebauer1 , O. Münsterer1 , W. Hirsch3 , W. Kiess2 , H. K.-H. Till1
  • 1Department of Pediatric Surgery, University of Leipzig, Leipzig, Germany
  • 2Department of Pediatrics, University of Leipzig, Leipzig, Germany
  • 3Department of Pediatric Radiology, University of Leipzig, Leipzig, Germany
Further Information

Publication History

received July 29, 2007

accepted after revision August 21, 2007

Publication Date:
25 April 2008 (online)

Abstract

In children, strokes occur with a frequency of 2 to 13 per 100 000. Risk factors include hematological, embolic and anatomical anomalies. But often the exact cause of strokes in pediatric patients remains unclear. We report here on a patient with long gap esophageal atresia, who suffered an ischemic stroke during gastric transposition. Postoperative assessment revealed a cerebral vascular variant of the circle of Willis. Follow-up clinical controls showed a favorable course. Today, at the age of 14 months, almost no neurological deficits are evident. To the best of our knowledge, no description of vascular cerebral complications combined with esophageal atresia can be found in the literature.

References

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Dr. Roman Metzger

Klinik und Poliklinik für Kinderchirurgie
Universitätsklinikum Leipzig AöR

Liebigstraße 20 A

04103 Leipzig

Germany

Email: roman.metzger@medizin.uni-leipzig.de

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