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Ann Thorac Surg 1999;67:1472-1474
© 1999 The Society of Thoracic Surgeons

Case Reports

Right aortic arch, right ligamentum, absent left pulmonary artery: a rare vascular ring

Ali Dodge-Khatami, MDa, Carl L. Backer, MDa, Michael E. Dunham, MDa, Constantine Mavroudis, MDa

a Divisions of Cardiovascular-Thoracic Surgery and Pediatric Otolaryngology, Department of Surgery, Northwestern University Medical School, The Children’s Memorial Hospital, Chicago, Illinois, USA

Accepted for publication October 10, 1998.

Address reprint requests to Dr Backer, Division of Cardiovascular-Thoracic Surgery, The Children’s Memorial Hospital, m/c 22, 2300 Children’s Plaza, Chicago, IL 60614
e-mail: c-backer{at}nwu.edu

A 5-month-old infant presented with respiratory failure secondary to severe right bronchial compression. Diagnostic imaging revealed a right aortic arch and absent left pulmonary artery. Surgical relief was obtained via median sternotomy by dividing a right ligamentum and pexing the enlarged right pulmonary artery to the ascending aorta.




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