VATER ASSOCIATION WAS FIRST described in 1973 as a nonrandom group of related defects, as follows: V = vertebral defects, A = anal atresia, TE = tracheoesophageal fistula, R = radial limb dysplasia.1Since that time, various expansions of the acronym have been suggested in an effort to further define the scope of the VATER association. Temtamy and Miller expanded the V in VATER to include vascular anomalies, specifically, ventricular septal defect and single umbilical artery.2An expansion of the acronym to VACTERL has been suggested, with theCdenoting cardiovascular anomalies and theLdenoting limb anomalies.3The designation of VATER or VACTERL association can be made for infants with at least three of the defects designated in the acronym.4