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J Thorac Cardiovasc Surg 2005;130:585-586
© 2005 The American Association for Thoracic Surgery

Brief Communication

Detection and treatment of complete vascular ring in an elderly woman with dysphagia

Akihito Muto, MD, PhD * , Toshiya Nishibe, MD, PhD, Yuka Kondo, MD, PhD, Masato Sato, MD, PhD, Motomi Ando, MD, PhD

Department of Surgery, Division of Cardiovascular Surgery, Fujita Health University Hospital, Toyoake, Aichi, Japan

Received for publication March 11, 2005; accepted for publication March 23, 2005.

* Address for reprints: Akihito Muto, MD, PhD, Department of Surgery, Division of Cardiovascular Surgery, Fujita Health University, 1-98 Dengakugakubo, Kutukake, Toyoake, Aichi 470-1192, Japan (Email: akiyann@hkg.odn.ne.jp).

The first 20% of the full text of this article appears below.


Figure 1
Nishibe, Muto, Ando, Sato, Kondo (left to right)


Vascular ring in adult patients is a rare anomaly in which the aortic arch and its branches compress the trachea, esophagus, or both. We describe the case of a 73-year-old woman with dysphagia caused by compression by complete vascular ring. This is the oldest patient reported in the English-language literature in whom complete vascular ring detected and treated surgically.

Clinical Summary

A 73-year-old woman was noted to have dysphagia when she was hospitalized for mild cerebral infarction. During the hospitalization, she lost 5 kg body weight and reported dysphagia with intermittent substernal discomfort. There were no respiratory symptoms. Stenosis of the esophagus was suspected, and she was admitted to our department.

An esophagogram revealed compression by a retroesophageal mass. Computed tomography (CT) with contrast agent revealed a double aortic arch that 3-dimensional (3D) CT indicated was a clear right aortic arch dominant-type complete vascular ring (Mayo Clinic classification type IA), in which the left . . . [Full Text of this Article]




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