SE Chong, A Saedah, S Rosdan, AZ Mamat

Abstract

Children with double aortic arch are often associated with other congenital heart problems which require intervention. We report a case of congenital vascular ring due to double aortic arch in an infant with ventricular septal defect, heart failure, pulmonary hypertension and tracheomalacia undergoing pulmonary artery banding and double aortic arch repair. The perioperative challenges of a concomitant stenosed trachea and cardiopulmonary disease, in particularly smooth induction and safe weaning is discussed and reviewed.