Abstract
Double aortic arch who needs surgical treatment in adulthood is rare. A 23-year-old woman admitted to our hospital with complaint of dyspnea and dysphagia. Chest X-ray showed an abnormality of thoracic aorta and computed tomography revealed double aortic arch. Both right and left arches showed similar size. Trachea and esophagus were compressed by the complete vascular ring. We performed division of the right aortic arch and reconstruction of the right subclavian artery through a right intercostal thoracotomy under partial cardiopulmonary bypass. Common associated anomalies in vascular ring, such as tracheomalacia or vulnerable vascular wall (Kommerell diverticulum) were not found in our case. The postoperative course was uneventful and her symptoms disappeared.
