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Vascular Rings and Slings - December 2005

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Surgical Management<br />

Double Aortic Arch<br />

– Division of the smaller of the two arches (usually the left arch) arch<br />

Right Aortic Arch w/ Aberrant LSA<br />

– Division of the ligamentum arteriosum<br />

Anomalous Innominate Artery<br />

– Surgical suturing of the artery to the sternum (if >75% tracheal<br />

narrowing)- narrowing) rarely indicated<br />

Aberrant right Subclavian Artery<br />

– Surgical interruption of the artery (rarely indicated)<br />

Anomalous Left Pulmonary Artery (Pulmonary <strong>Vascular</strong><br />

Sling)<br />

– Surgical division <strong>and</strong> reimplantation of the LPA

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