Vascular Ring Double Aortic Arch


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Release Date

5 Oct 2020

Expiration Date

4 Jun 2022

Last Reviewed

4 Jun 2021

Estimated Time To Finish

60 Minutes

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Activity Description

The term "vascular ring" refers to the vascular structures that encircle and compress the trachea and esophagus, causing respiratory and gastrointestinal symptoms. It can be further classified based on the location of the aortic arch. An arch sidedness is defined by the position of the aortic arch in relation to the trachea and bronchi. A left aortic arch (LAA) would be on the left of the trachea and run over the left bronchus, whereas a right aortic arch (RAA) would be on the right of the trachea and run over the right bronchus. A double aortic arch (DAA) occurs when there are two transverse aortic arches running over the trachea and both bronchi. Normally, the arch sidedness is towards the left, and there is no arterial duct behind the trachea or esophagus. There is a patent vessel, an atretic vessel, or its remnants circling the trachea or esophagus in cases of the vascular ring. The most common aortic arch association with a vascular ring is a DAA or a right aortic arch with an aberrant (retro-esophageal) left subclavian artery. This activity reviews the evaluation and management of vascular rings and explains the role of the interprofessional team in managing patients with this condition.

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Target Audience

This activity has been designed to meet the educational needs of nurse practitioners.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Identify the embryology of vascular rings causing a double aortic arch and a right aortic arch with aberrant left subclavian artery.
  • Outline the presentation of a patient with vascular rings.
  • Describe the treatment considerations for patients with vascular rings.
  • Summarize the importance of collaboration and communication among the interprofessional team to enhance care coordination for patients affected by vascular rings.

Author(s) / Contributors Disclosure of Conflicts of Interest

Each author, editor, faculty and planning committee member have completed a disclosure form indicating that neither they nor their spouse/partner has a financial interest/arrangement or affiliation that could be perceived as a real or apparent conflict of interest related to the content of this activity.

COMMERCIAL SUPPORT: This activity has received NO commercial support.


Hover over the contributor names to see details and disclosures of any financial relationships or relationships they or their spouse/life partner have with commercial interests related to the content of this continuing education activity.

Continuing Education Accreditation Information


This activity has been planned and implemented in accordance with the Accreditation Standards of the American Association of Nurse Practitioners (AANP) through the joint providership of AKH Inc., Advancing Knowledge in Healthcare and StatPearls Publishing, LLC.  AKH Inc., Advancing Knowledge in Healthcare is accredited by the American Association of Nurse Practitioners as an approved provider of nurse practitioner continuing education. Provider number: 030803.  This activity is approved for 1.00 contact hour(s) (which includes 0 hour(s) of pharmacology).

Cancellation Policy: Cancellations must be received in writing and a money-back guarantee is provided if not completely satisfied.

  • StatPearls and AKH reserve the right to cancel any course due to unforeseen circumstances. StatPearls and AKH will not be responsible for other expenses incurred by the participant in the unlikely event that the program is canceled.

Equal Opportunity

  • StatPearls and AKH are Equal Opportunity / Affirmative Action / Equal Access Institutions. 

Medium or Media Used:

  • Computer Requirements:  Internet Access
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Instructions for Credit

  1. Register for the activity and create a StatPearls login.     
  2. Review the required accreditation information:  Target audience, learning objectives, and disclosure information.
  3. Complete the entire self-study activity.
  4. Complete the post-test assessments.
  5. Successfully pass the post-test with a minimum score of 100%.
  6. Complete the evaluation form.
  7. Obtain a certificate.

StatPearls and AKH adhere to provider standards regarding commercial support of continuing education. It is the policy of StatPearls and AKH that the faculty and planning committee disclose real or apparent conflicts of interest relating to the topics of this educational activity, that relevant conflict(s) of interest are resolved and also that authors and editors will disclose any unlabeled/unapproved use of drug(s) or device(s) during their presentation. Detailed disclosure will be made prior to starting the activity.

The information provided for this activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

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  • If you have concerns regarding CE, please contact or call AKH 877-AKH-CME4.


Media Usage Rights

The contributors and editors of StatPearls have attested that all associated media (images and video) have been legally cleared for use with this activity.  All copyrights are reserved.

  • Name: 'Vascular Ring Toti-potential 1.jpg' Attribution: Wayne Franklin, MD
  • Name: 'Double Aortic Arch.jpg' Attribution: Contributed by Wayne Franklin, MD
  • Name: 'Right AA with Aberrant LSCA.jpg' Attribution: Contributed by Wayne Franklin, MD


Jessica L. on 7/15/2021

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