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A 6-month-old girl, born at 34 weeks gestation, with a history of VACTERL, thoracoscopic repair of a tracheo-oesophageal fistula and oesophageal atresia was referred with a new oxygen requirement. She was admitted for further investigations, including bronchoscopy with bronchoalveolar lavage and oesophageal dilatation.
Flexible bronchoscopy demonstrated a deep blind-ending pit with associated tracheomalacia and distorted bronchial anatomy (figure 1).
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