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Vascular ring causing symptomatic tracheal compression in adulthood

E Fadel1, A R Chapelier, J Cerrina

  • 1Department of Thoracic and Vascular Surgery, Hôpital Marie-Lannelongue, Paris-Sud University, Le Plessis Robinson, France.

The Annals of Thoracic Surgery
|November 1, 1995
PubMed
Summary
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A rare vascular anomaly caused a woman's breathing difficulty. Surgical correction of the aortic diverticulum provided immediate relief from exertional dyspnea.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Medical Diagnostics

Background:

  • Congenital vascular anomalies can present with significant cardiopulmonary symptoms.
  • Right aortic arch with mirror-image branching is a rare condition.
  • Tracheal compression by vascular structures can lead to respiratory distress.

Observation:

  • A 32-year-old woman presented with a 3-year history of exertional dyspnea.
  • Imaging revealed an anomalous vascular ring involving a right aortic arch, left descending aorta, and aortic diverticulum.
  • The vascular anomaly caused circumferential narrowing of the trachea.

Findings:

  • Surgical intervention was performed via a right posterolateral thoracotomy.
  • Simple amputation of the aortic diverticulum was the chosen surgical technique.

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  • The patient experienced immediate symptomatic relief following the procedure.

    • Implications:

    • This case highlights the importance of considering vascular anomalies in the differential diagnosis of dyspnea.
    • Surgical correction of aortic diverticulum can effectively alleviate tracheal compression symptoms.
    • Timely diagnosis and surgical management are crucial for improving quality of life in patients with vascular rings.