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For this purpose, we advise the use of a simple interrupted suture to close the muscular wall. The nature of VACTERL syndrome as a diagnosable disorder is still under scrutiny. This is the first case, as evidenced by the current medical literature, of a patient affected by VACTERL syndrome and displaying a double esophageal duplication. In our estimation, esophageal duplications' thoracoscopic treatment should be perfor