Surgical Treatment of Recurrent Tracheal and Esophageal Compression After Double Aortic Arch Surgery: Extra-Anatomic Bypass

Document Type : Case Report


1 Department of Pediatric Heart Surgery, University of Health Sciences Tepecik Training and Research Hospital, Izmir, Turkey.

2 Department of Cardiovascular Surgery, University of Health Sciences Tepecik Training and Research Hospital, Izmir, Turkey.


Vascular rings compress the trachea, the esophagus, or both, causing severe obstructive esophageal and airway symptoms. Its treatment is surgery. However, a second surgical intervention is required in patients with persistent symptoms after surgery. Sometimes, the reason for this may be that the initial surgery was insufficient. In the presented herein, we applied the extra-anatomic bypass and simultaneous ligamentum arteriosum division approach in a patient with a diagnosis of double aortic arch subjected to isolated arch division. (Iranian Heart Journal 2022; 23(2): 136-141)


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