raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:887

VACTERL/VATER association

Synonyms: VACTERL association · VATER association · Vertebral defects-anal atresia-cardiac defects-tracheo-esophageal fistula-renal anomalies-limb abnormalities association

Type
Malformation syndrome
Group
Disorder
Inheritance
Not applicable
Age of onset
Antenatal, Neonatal
Status
active

A rare multiple congenital anomalies characterized by the presence of at least three of the following malformations: vertebral defects, anal atresia, cardiac defects, tracheo-esophageal fistula, renal anomalies, and limb abnormalities.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enVACTERL/VATER associationVACTERL association · VATER association · Vertebral defects-anal atresia-cardiac defects-tracheo-esophageal fistula-renal anomalies-limb abnormalities association
frAssociation VACTERL/VATERAssociation VACTERL · Association VATER · Association de malformations vertébrales-atrésie anale-anomalies cardiaques-fistule trachéo-oesophagienne-anomalie rénale-anomalie des membres
deVACTERL/VATER-AssoziationVACTERL-Assoziation · VATER-Assoziation
esAsociación VACTERL/VATERAsociación VACTERL · Asociación VATER
itAssociazione VACTERL/VATERAssociazione VACTERL · Associazione VATER
nlVACTERL/VATER-associatieVACTERL-associatie · VATER-associatie
ptAssociação VACTERL/VATERAssociação VACTERL · Associação VATER
plAsocjacja VACTERL/VATERAsocjacja VACTERL · Asocjacja VATER
csVACTERL/VATER asociaceVACTERL asociace · VATER asociace
ukАсоціація VACTERL/VATERАсоціація VACTERL · Асоціація VATER · Вади хребта - атрезія анального отвору - вади серця - трахео-стравохідна нориця - аномалії нирок - аномалії кінцівок асоціація
zhVACTERL/VATER联合征VACTERL联合征
trVACTERL / VATER birlikteliğiVATER asosiasyonu · VACTERL asosiasyonu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM192350Evalidated
ICD-10Q87.2NTBTinclusionvalidated
ICD-11LD2F.11Especificvalidated
MONDO0008642Evalidated
UMLSC4225671Evalidated
GARD5443Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (4):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
HOXD13Candidate gene tested inNot yet assessedHGNC:5136ENSG000001287141429892q31.1homeobox D1319006232[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth1-9 / 100 0006.25 / 100 000EuropeValue and classValidated21846383[PMID]_[EXPERT]_ ORPHANET
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

41 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002023Anal atresia
HP:0006703Aplasia/Hypoplasia of the lungs
HP:0001561Polyhydramnios
HP:0001622Premature birth
HP:0002777Tracheal stenosis
Frequent (79-30%)
HP:0001671Abnormal cardiac septum morphology
HP:0030680Abnormal cardiovascular system morphology
HP:0006501Aplasia/Hypoplasia of the radius
HP:0000776Congenital diaphragmatic hernia
HP:0000086Ectopic kidney
HP:0001601Laryngomalacia
HP:0000104Renal agenesis
HP:0002575Tracheoesophageal fistula
HP:0003422Vertebral segmentation defect
Occasional (29-5%)
HP:0005108Abnormal intervertebral disk morphology
HP:0000008Abnormal morphology of female internal genitalia
HP:0000772Abnormal rib morphology
HP:0005107Abnormal sacrum morphology
HP:0005264Abnormality of the gallbladder
HP:0001732Abnormality of the pancreas
HP:0000795Abnormality of the urethra
HP:0000062Ambiguous genitalia
HP:0002323Anencephaly
HP:0012732Anorectal anomaly
HP:0000048Bifid scrotum
HP:0001048Cavernous hemangioma
HP:0000175Cleft palate
HP:0000028Cryptorchidism
HP:0006101Finger syndactyly
HP:0000126Hydronephrosis
HP:0008736Hypoplasia of penis
HP:0000047Hypospadias
HP:0001511Intrauterine growth retardation
HP:0000239Large fontanelles
HP:0000003Multicystic kidney dysplasia
HP:0100335Non-midline cleft of the upper lip
HP:0002085Occipital encephalocele
HP:0001539Omphalocele
HP:0000358Posteriorly rotated ears
HP:0001177Preaxial hand polydactyly
HP:0001195Single umbilical artery

Run the differential on the 5 obligate / very frequent terms

7

Sources for this card