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Most
veterinarians are familiar with the persistent right aortic arch (PRAA),
shown here. A vascular ring is formed by the aortic arch on the right
side, with the ligamentum arteriosum dorsolaterally, and the pulmonary
artery on the left and ventrally. This ring compresses the esophagus
and trachea, and the resultant swallowing difficulty is relieved by dividing
the ligamentum arteriosum surgically.
Other
vascular rings may occur during development and surgeons need to know enough
aortic arch embryology to identify the abnormal vessels and to address them
surgically. The purpose of this demonstration is to teach you to
identify and manage the various types of less common vascular rings you may
encounter.
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