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Living with VATER association

A condition present at birth that can affect the spine, anus, heart, windpipe and food pipe, kidneys, and limbs.

Understanding VATER association

VATER (VACTERL) association is a condition present at birth that affects many body systems.

VACTERL stands for spine (vertebral) defects, anal atresia, heart defects, a windpipe-to-food-pipe connection (tracheo-esophageal fistula), kidney differences, and limb differences. People usually have at least three of these. They may also have other differences. GARD says some need surgery in infancy.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Spine bone differences
  • Closed or narrowed anus (anal atresia)
  • Heart differences
  • Windpipe-food pipe connection (fistula)
  • Missing or misshapen kidneys
  • Forearm or limb differences

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include digestive system specialists, genetic specialists and kidney specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Digestive system specialists (gastroenterologists); Genetic specialists (geneticists); Kidney specialists (nephrologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Pull-thru Network and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which features does my child have?
Which specialists should follow my child's care?
What surgeries might my child need?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn

GARD doesn't name specific genes or an inheritance pattern. It says changes in genes (variants) cause this condition.

GeneticKidneyGastrointestinal

Also known as: vacterl association; vacterl syndrome; vacterl/vater association; vertebral abnormalities, anal atresia, cardiac abnormalities, tracheo-esophageal fistula, renal anomalies, limb defects (vacterl) syndrome; vertebral abnormalities, anal atresia, cardiac abnormalities, tracheo-esophageal fistula, renal anomalies, limb defects syndrome

Patient organizations

Source: NIH GARD · VATER associationGARD ID 5443 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with VATER association.

Explore the VATER association blog

Explore research for VATER association

Explore actively recruiting VATER association studies with HealthSpark.

HealthSpark

Find actively recruiting studies for VATER association with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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