Congenital double aortic arch is one of the most common vascular anomalies in congenital vascular ring, which often presents early tracheal compression symptoms. The article reports on the anesthetic management of five children who underwent thoracoscopic correction of double aortic arch. Preoperative CT in these children indicated tracheal stenosis of less than 50%. All the patients were intubated after rapid intravenous induction, and single‑lung ventilation was achieved using the bronchial blocker extrathoracic method. The intubation was successful in all the children, where single‑lung ventilation was tolerable. At the beginning of single‑lung ventilation, one child experienced a temporary decrease in oxygenation, which may result from increasing intrapulmonary shunting, and oxygenation recovered after discontinuation of sevoflurane. Controlled hypotension was slowly induced 30 min before the aortic arch was clipped to ensure effective blood volume, where the mean arterial pressure was maintained at 50−60 mmHg (1 mmHg=0.133 kPa), attention was drawn on the changes in respiratory dynamics and hemodynamics, as well as assistance to the surgeon during the clipping process. The tracheal tube was successfully withdrawn after the operation, and the children were discharged after treatment.