This infant developed severe tracheomalacia following primary repair of a pure esophageal atresia with a gastric transposition. After several weeks of conservative management, it was felt that aortopexy was indicated in order to be able to discharge the infant from the hospital. The videotape demonstrates the bronchoscopy prior to thoracotomy and shows the use of the ventilating bronchoscope during the operative procedure. This videotape clearly depicts resection of the left lobe of the thymus gland in order to visualize the aortic arch. Placement of the sutures in the aortic arch is demonstrated under rigid bronchoscopic control. This approach allows the surgeon to place the stitches in the exact location needed to suspend the aortic arch and allows him to verify proper placement by observing the opening up of the narrowed trachea through the ventilating bronchoscope. Immediately following the surgical procedure, all the infant's symptoms disappeared.