Conclusion:
Giant CLAA is an extremely rare defect with potential lethal complications and significant morbidity. Early surgical management is mandatory to prevent devastating complications, and it is lifesaving in neonates presenting early in life with severe respiratory distress symptoms. Surgery for CLAA is safe, uncomplicated with complete regression of the symptoms even in neonates.
Consent: Written informed consent was obtained from the patient’s parents for publication of this report and the images.
Conflict of interest statement: The authors have no conflict of interest.
Data availability statement: The data is available in the archive office at Damascus University cardiac surgery hospital.
Funding: None
Declaration : we declare that none of the authors listed on the manuscript are employed by a government agency that has a primary function other than research and/or education. Moreover, none of the authors is submitting this manuscript as an official representative or on behalf of the government.