VACTERL rare association with rare survival pattern

Truncus Arteriosus (TA) as a cardiac anomaly is a rare occurrence in VACTERL (Vertebral defects, Anorectal malformations, Cardiac defects, Tracheo-Esophageal fistula, Renal & Limb anomalies) association and portends an extremely poor prognosis. The authors report here the case of a 37-year-old male who presented with complaints of recurrent respiratory tract infections and occasional syncopal attacks. The patient was subsequently found to possess an extremely rare combination of VACTERL association with Complex Congenital Cyanotic Heart Disease (Truncus Arteriosus with Right Sided Aortic Arch, Single Coronary Artery, Situs Inversus with Levocardia). The relatively symptom-free survival of the patient into adulthood with this combination of birth defects constitutes a medical rarity and is therefore being presented here.