Abstract
A case which demonstrates an unusual combination of anomalies of the great vessels is described. These include three of the more commonly recognized vascular rings, namely, right aortic arch with left ligamentum arteriosum, anomalous left common carotid artery, and anomalous left subclavian artery. An additional anomaly was the insertion of the ligamentum arteriosum to the site of coarctation of the anomalous left subclavian artery and a ventricular septal defect. The importance of considering the simultaneous occurrence of multiple anomalies of the heart and great vessels is emphasized.
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