Compression is prevented by placement to ET and NG tubes.
Right arch is higher and larger in caliber than left.
Four brachiocephalic vessels are seen with a carotid and subclavian arising from their respective arches. Patients often present with inspiratory stridor, expiratory wheezes, and tachypnea usually within the first 6 months of life. Feeding is often poor with choking and dysphagia proportional to degree of obstruction. Patients presenting later than 6 months often have less severe symptoms and tend to have a more favorable natural course. Severe recurrent respiratory infections, cyanosis, apnea, unconsciousness, and even death are complications of severe obstruction.