Case Report:
A 2-year-old girl was referred for management of restrictive perimembranous ventricular septal defect (VSD), moderate sized secundum atrial septal defect (ASD) and right aortic arch with a left aberrant subclavian artery (ASA). The left ASA ran a retrooesophageal and retrotracheal course with indentation of the oesophagus and trachea. Additionally, a large patent ductus arteriosus (PDA) connecting the main pulmonary artery (MPA) to left ASA completed a rare case of vascular ring (Figure 1).