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Ann Thorac Surg 1995;60:1411-1413
© 1995 The Society of Thoracic Surgeons

Case Reports

Vascular Ring Causing Symptomatic Tracheal Compression in Adulthood

Elie Fadel, MD, Alain R. Chapelier, MD, Jacques Cerrina, MD, Paolo Macchiarini, MD, Philippe G. Dartevelle, MD

Department of Thoracic and Vascular Surgery and Heart-Lung Transplantation, Hôpital Marie-Lannelongue, Paris-Sud University, Le Plessis Robinson, France

Accepted for publication July 25, 1995.

A 32-year-old woman was referred for evaluation of a 3-year history of exertion dyspnea. An anomalous vascular ring created by a right aortic arch with mirror-image branching, left descending aorta, and aortic diverticulum narrowed the trachea circumferentially. This feature was surgically approached through a right posterolateral thoracotomy, and simple amputation of the aortic diverticulum resulted in immediate symptomatic relief.




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