A case is presented of vascular ring caused by right aortic arch with mirro
r-image branching and left ductus arteriosus. In this case, the descending
aorta was located right of the tracheoesophagus and the left ductus arterio
sus connected to the descending aorta far below the arch, producing compres
sion of the esophagus only. Through median sternotomy, the ligation and div
ision of the ductus was performed with concomitant repair of ventricular se
ptal defect. (C) 2001 by The Society of Thoracic Surgeons.