A 12-year-old child was brought to the Specialized Hospital in Idleb as she complained a severe dysphagia (difficulty swallowing) of solid food and thick liquids with the presumption of an extrinsic compression of the esophagus.

The child underwent the needed examinations like radiographs for the esophagus with Barium x-ray and gastrointestinal endoscopy and it was realized that there was a large compression of a large vessel passing behind the esophagus. Upon conducting a multiple-level CT (Computed Tomography) Scan, it was found out that the case was a very rare deformity, called vascular ring which is caused by a right aortic arch with an aberrant subclavian artery and Kommerell’s diverticulum, leading to a compressed and narrowed esophagus and consequently the mentioned symptoms. In addition, the presence of an arterial ligament, remnant of ductus arteriosus, was also seen.

The child was admitted to the surgical operations room and the medical team managed to conduct a vascular and thoracic surgeries in the Specialized Surgical Hospital, which is supported by the Syrian Expatriate Medical Association (SEMA); they removed the pouch, cut the arterial ligament, and completely released the esophagus; an anastomosis was also performed between the Subclavian artery and the left carotid artery, and all of this was successfully done without any mentioned complications.

A few days later, the child was discharged of the hospital after it was assured that her condition improved and the symptoms disappeared, thanks to Allah.