Horseshoe lung in association with other foregut anomalies: what is the significance?

The authors present an unusual constellation of foregut anomalies in a newborn boy including horseshoe lung, esophageal atresia (EA) with distal tracheoesophageal fistula (TEF), congenital cystic adenomatoid malformation (CCAM), esophagobronchial fistulae, and a preduodenal pancreas. Horseshoe lung is a rare congenital anomaly in which the left and right lung bases are fused across the posterior mediastinum. The presentation is variable. The association of horseshoe lung with VACTERL anomalies and Bronchopulmonary foregut malformations is reviewed.