General thoracic and cardiovascular surgery
-
Gen Thorac Cardiovasc Surg · Mar 2019
Case ReportsSuccessful surgical treatment with tracheal resection for a symptomatic vascular ring in an adult.
Vascular rings are congenital anomalies of the aortic arch, which may cause compression of the trachea and esophagus. Compression symptoms usually present in infants and children. ⋯ Here, we present an adult case of symptomatic vascular ring formed by the right aortic arch and persistent left ligamentum arteriosus. Respiratory symptoms were predominantly due to severe tracheal stenosis caused by tracheal wall thickening through remodeling during long-standing compression, and were relieved by surgery with transection of the persistent followed by resection and reconstruction of the trachea.