Symptomatic double aortic arch causing tracheal and esophageal compression in the adult

A 50-year-old woman with a symptomatic double aortic arch that was successfully treated surgically is presented. Review of this abnormality notes that this anomaly rarely causes symptoms in adults. Greater awareness of the possibility of this condition as a cause of tracheal compression and dysphagia may lead to symptomatic relief for these patients.