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Ann Thorac Surg 1995;60:1413-1415
© 1995 The Society of Thoracic Surgeons

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Articles

Late development of esophageal compression from a vascular ring

Departments of Cardiothoracic and Vascular Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA

Accepted for publication April 30, 1995.

^* Address reprint requests to Dr Nicolosi, Department of Cardiothoracic Surgery, Medical College of Wisconsin, 8700 W Wisconsin Ave, Milwaukee, WI 53226.

Severe esophageal compression due to a vascular ring rarely develops after childhood. We report a case of a 57-year-old man with recent onset of dysphagia associated with right aortic arch, right descending aorta, and retroesophageal left subclavian artery arising from an arch diverticulum. Surgical repair was recommended for relief of symptoms and to prevent rupture of the diverticulum. The patient underwent left thoracotomy, division of the ligamentum arteriosum, and excision of the arch diverticulum. The left subclavian artery was reimplanted into the left common carotid artery through a separate neck incision. The patient had total relief of dysphagia postoperatively.

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