[Oesophageal atresia type Vogt IIIB with fistula of the distal segment to the cervical trachea, combined with right descending aorta and further malformations (author's transl)].

Presentation of a hitherto unreported variation of oesophageal atresia in a male infant. There was a blind end to the upper segment, the lower was joined to the cervical trachea by a fistula. Both segments were surrounded by a muscle sheath. In addition, the patient demonstrated a right descending aorta. Since the fistula was situated unexpectedly high, it was necessary to approach through a cervical incision, both a right- and left-thoracotomy having proved useless. The fistula was divided, and the oesophageal ends joined. The child also suffered from congenital deformities of the heart and the spine. The authors recommend preoperative tracheaoscopy to determine the site of the fistula, and hard ray exposure X-ray of the chest, showing the course of the aorta.