Vascular ring causing symptomatic tracheal compression in adulthood.
A 32-year-old woman was referred for evaluation of a 3-year history of exertion dyspnea. An anomalous vascular ring created by a right aortic arch with mirror-image branching, left descending aorta, and aortic diverticulum narrowed the trachea circumferentially. This feature was surgically approached through a right posterolateral thoracotomy, and simple amputation of the aortic diverticulum resulted in immediate symptomatic relief.
Fadel
E
E
Department of Thoracic and Vascular Surgery, Hôpital Marie-Lannelongue, Paris-Sud University, Le Plessis Robinson, France.
Chapelier
A R
AR
Cerrina
J
J
Macchiarini
P
P
Dartevelle
P G
PG
D000328:Adult; D001013:Aorta, Thoracic / Q000002:abnormalities*; D001018:Aortic Diseases / Q000151:congenital / Q000601:surgery*; D004240:Diverticulum / Q000151:congenital / Q000601:surgery*; D004417:Dyspnea / Q000209:etiology*; D005260:Female; D006801:Humans