DOUBLE AORTIC ARCH / ABERRANT LEFT SUBCLAVIAN ARTERY
WITH TRACNEOBRONCHOMIALAClA - DIVISION OF MINOR AORTIC ARCH AND KOMMERELL'S DIVERTICULUM
KNOWN ESOPHAGEAL ATRESIA / TRACHEO-ESOPHAGEAL FISTULA- OPERATED KNOWN VSD
Baby Dhanashrce, 8 months old girl was admitted in our PICU on 22.09.2017, She has VACTERL anomaly. was operated for Esophageal atresia / Tracheo-esophageal fistula during neonatal period. On evaluation during the current hospitalisation, she was detected to have Double aortic arch / Aberrant Left Subclavian artery causing tracheal compression and trachcobronchomalacin, She is being managed by a multi-disciplinary team of Pediatrician, Intcnsivists, Cardiothoracic surgeon, ENT surgeon. Pulmonologist. She underwent division of minor aortic arch and Kommerell's diverticulum on 05.10.2017 and tracheostomy on 13.10.17. Currently, she is on tracheostomy
Pressure support. In view of severe grade of tracheobronchcmalacia, she is expected to require prolonged ventilation and BiPAP support through tracheostomy till the time she outgrows the airway malacia.
Her current requirements are tracheostomy care, tracheal toiletting and secretion clearance, BiPiAP
support, nutrition through Nasogastric tube feeds.