The tracheal bronchus manifests a variety of tracheobronchial anomalies. Bilateral tracheal bronchi are rare. Anomalous tracheal bronchus is usually asymptomatic.

Case report: We report an 8-year old girl who had underlying complex congenital heart diseases: uni-ventricular heart, tricuspid atresia, and severe pulmonary stenosis and who was incidentally found to have asplenia syndrome and bilateral tracheal bronchi from the contrast enhanced multidetector computed tomography (MDCT).

Conclusion: The bilateral tracheal bronchi are more often found in patients with asplenia syndrome and considered bilateral right bronchi.