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VACTERL Association

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Copyright 1987, 1989, 1992, 2003, 2009

NORD is very grateful to Marco Castori, MD, Department of Medical Genetics, San Camillo-Forlanini Hospital, Rome, Italy, for assistance in the preparation of this report.

Synonyms of VACTERL Association
  • VACTERLS association
  • VATER association
  • VATERS association

Disorder Subdivisions



General Discussion
VACTERL association is a nonrandom association of birth defects that affects multiple organ systems. The term VACTERL is an acronym with each letter representing the first letter of one of the more common findings seen in affected children:

(V) = vertebral abnormalities
(A) = anal atresia
(C) = cardiac (heart) defects
(T) = tracheal anomalies including tracheoesophageal fistula
(E) = esophageal atresia
(R) = renal (kidney) and radial abnormalities
(L) = (other) limb abnormalities

In addition, to the above mentioned features, affected children may also exhibit less frequent abnormalities including growth deficiencies and failure to gain weight and grow at the expected rate (failure to thrive). Further low-frequency findings include facial asymmetry (hemifacial microsomia), external ear malformations, lung lobation defects, intestinal malrotation and genital anomalies. VATER/VACTERL features are more common in twinning. In some cases, the acronym VATER association is used. Some researchers have added an (S) to the VACTERL or VATER acronym to represent a single umbilical artery instead of the normal two. Mental functioning and intelligence is usually unaffected; developmental delay/mental retardation should suggest an alternative diagnosis. The exact cause of VACTERL association is unknown. Most cases occur randomly, for no apparent reason (sporadic).

Organizations related to VACTERL Association
  • Birth Defect Research for Children
    930 Woodcock Rd
    Suite 225
    Orlando FL 32803
    Phone #: 407-895-0802
    800 #: --
    e-mail: staff@birthdefects.org
    Home page: http://www.birthdefects.org
  • Congenital Heart Anomalies, Support, Education, & Resources
    2112 North Wilkins Road
    Swanton OH 43558
    Phone #: 419-825-5575
    800 #: --
    e-mail: chaser@compuserve.com
    Home page: http://www.csun.edu/~hcmth011/chaser/chaser-news.html
  • EA/TEF Child and Family Support Connection, Inc.
    111 West Jackson Boulevard
    Suite 1145
    Chicago IL 60604-3502
    Phone #: 312-987-9085
    800 #: --
    e-mail: info@eatef.org
    Home page: http://www.eatef.org
  • Fetal Hope Foundation
    9786 S Holland Street
    Littelton CO 80127
    Phone #: 303-932-0553
    800 #: 877-789-4673
    e-mail: info@fetalhope.org
    Home page: http://www.fetalhope.org
  • Genetic and Rare Diseases (GARD) Information Center
    PO Box 8126
    Gaithersburg MD 20898-8126
    Phone #: 301-519-3194
    800 #: 888-205-2311
    e-mail: gardinfo@nih.gov
    Home page: http://www.genome.gov/10000409
  • MUMS (Mothers United for Moral Support, Inc) National Parent-to-Parent Network
    150 Custer Court
    Green Bay WI 54301-1243
    Phone #: 920-336-5333
    800 #: 877-336-5333
    e-mail: mums@netnet.net
    Home page: http://www.netnet.net/mums/
  • March of Dimes Birth Defects Foundation
    1275 Mamaroneck Avenue
    White Plains NY 10605
    Phone #: 914-428-7100
    800 #: 888-663-4637
    e-mail: Askus@marchofdimes.com
    Home page: http://www.marchofdimes.com
  • TEF/VATER/VACTRL National Support Network
    15301 Grey Fox Road
    Upper Marlboro MD 20772
    Phone #: 301-952-6837
    800 #: --
    e-mail: tefvater@ix.netcom.com
    Home page: http://www.tefvater.org
  • Tracheo Oesophageal Fistula Support Group (TOFS)
    St. George's Centre
    91 Victory Road
    Netherfield
    Nottingham Intl NG4 2NN
    Phone #: 011-5 9-61 3092
    800 #: --
    e-mail: office@tofs.org.uk
    Home page: http://www.tofs.org.uk
  • VATER Connection, Inc.
    1722 Yucca Lane
    Emporia KS 66801
    Phone #: 620-342-6954
    800 #: --
    e-mail: angie@vaterconnection.org
    Home page: http://www.vaterconnection.org

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Last modified Wednesday, November 26, 2008