The symptoms associated with this defect involve the constriction of the trachea (wind-pipe) and/or esophagus by the surrounding branches of the aorta.  This defect is often asymptomatic.

If there is tracheal compression, breath sounds are louder with wheezing or other respiratory distress.

If there is esophageal compression, solid food may not be easily swallowed as the aortic branches narrow the esophagus, and vomiting or choking may occur.