Right aortic arch with left ligamentum arteriosum. Conclusion:Prenatal examination can improve the diagnosis rate of double aortic arch deformity, early intervention follow-up in pediatric surgery can reduce the incidence of related complications in children, and thoracoscopic surgery is feasible to correct the deformity, with small trauma and Less bleeding. The surgeon will cut and stitch closed one of the arches (usually the left) so the aorta no longer encircles or puts pressure on the trachea or esophagus. 4 patients needed ventilator support for more than 7 days, 2 patients developed pneumothorax and were cured after drainage. No difficulty in eating, no difficulty in breathing required tracheal stenosis surgery again. Postoperative follow-up period was 1-6 months. 1 patient was cured and discharged except that he gave up treatment for economic reasons. Staged repair of truncus arteriosus with double aortic arch, tracheoesophageal fistula, and choanal atresia via a multi-disciplinary approach: a case. Postoperative ventilator support time was 4-14 days. Double aortic arch (DAA) is the most common cause of tracheoesophageal compression, with an incidence of 46 to 76 in reports of vascular rings. Intraoperative bleeding was about 5-10 ml.

The operation time was 80-135 minutes, with an average of 100 minutes. Results:All the 10 cases underwent thoracoscopic surgery, and 1 case underwent thoracotomy because oxygen saturation could not be maintained. Postnatal surgery was performed when trachea compression exceeded one third, and selective operation was performed around six months after birth if the compression was less than one third. Double aortic arch (DAA) is a rare congenital anomaly of the aortic arch system where a complete vascular ring is formed around the trachea and esophagus. MRI examination was performed at 35 weeks before birth to understand the relationship between vascular ring and trachea and esophagus. Methods:The clinical data of 10 infants with double aortic arch malformation from January 2015 to May 2019 were retrospectively summarized, including 7 boys and 3 girls aged from 2 hours to 8 months, 9 with right arch dominance and 1 with left arch dominance. ABSTRACT Objective:To summarize the effect of thoracoscopy for infants with double aortic arch malformation.

Double aortic arch surgery