We present a rare case of atrial septal defect and ventricular septal
defect with a vascular ring. The ring was formed by a right-sided aortic
arch with an aberrant left subclavian artery that gave rise to a patent
ductus arteriosus connecting to the main pulmonary artery. We performed
a single-stage repair of the intra-cardiac defects and division of
vascular ring with a novel sternotomy approach instead of the
traditionally practised dual approach. Our novel approach included
implantation of the aberrant left subclavian artery to the left carotid
artery after transection. We could perform single-stage division of
vascular ring along with the closure of both septal defects.