Aortopexy can be performed to relieve the extrinsic tracheal compression but will not address the other issues caused by the mediastinal shift [10, 11].
In spite of the technical challenges related to the airway and anesthesia, surgical interventions including, staged tracheoplasty, aortopexy, tracheopexy, tracheobronchoplasty, tracheal suspension, extrinsic tracheal neo-rings and intraluminal tracheal splints have been used successfully3.
Thoracoscopy in a child in need of an aortopexy for tracheomalacia showed a persistent left superior caval vein with the phrenic nerve on top of it (Fig.