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Ann Thorac Surg 1998;65:246
© 1998 The Society of Thoracic Surgeons

Case Reports

Esophageal Compression by the Aorta After Arterial Switch

Doff B. McElhinney, MS, V. Mohan Reddy, MD, Gautham P. Reddy, MD, MPH, Charles B. Higgins, MD, Frank L. Hanley, MD

Division of Cardiothoracic Surgery, University of California, San Francisco, San Francisco, California, USA
Department of Radiology, University of California, San Francisco, San Francisco, California, USA

Accepted for publication August 27, 1997.

Dr Hanley, 505 Parnassus Ave, M593, San Francisco, CA 94143-0118.

Extrinsic compression of the esophagus in children most often occurs in the presence of a congenital vascular ring. We recently operated on a patient in whom esophageal compression had developed that was severe enough to require feeding via a gastrostomy tube several years after the arterial switch operation. Aortopexy and extensive mediastinal mobilization were performed twice with transient relief and gradual return of symptoms. Almost 3 years after the first aortopexy, lasting relief was achieved by transposing the esophagus into the right side of the chest.




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