A Case of Balanced Type Double Aortic Arch Diagnosed Incidentally by Transthoracic Echocardiography in an Asymptomatic Adult Patient

Seo, Han Seok; Park, Yong Hyun; Lee, Ju Hyoung; Hur, So Chong; Ko, Yu Jin; Park, So Yeon; Kim, Junhwan; Kim, Young Jung; Kim, So Yon; Kwon, Nak Hyun

doi:10.4250/jcu.2011.19.3.163

Cited by 17 publications

(19 citation statements)

References 17 publications

(20 reference statements)

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“…Seventy-five percent of patients with DAA have a right dominant arch, 20% have a left dominant arch with the remaining 5% have a so-called balanced type [6], as was the case with our patient.…”

Section: Case Reportsupporting

confidence: 68%

A double aortic arch presenting in the 7th decade of life

Vatish¹,

McCarthy²,

Perriss

2013

Journal of Surgical Case Reports

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A 64-year-old woman presented to the Vascular Outpatient department concerned about a pulsatile swelling in her right supraclavicular fossa. She had no other symptoms. A computed tomography angiogram demonstrated a double aortic arch (DAA) with the innominate artery arising from the right arch and left common carotid and subclavian arteries arising from the left arch. There were no aneurysms. A DAA accounts for 1% of congenital cardiac disease. It is the commonest form of a complete vascular ring, caused by a failure of the embryological, right, fourth pharyngeal arch to regress. Patients typically present in childhood with symptoms arising from tracheal and oesophageal compression, which frequently require surgical intervention. There is a paucity of evidence on how to manage this disease in adulthood, with only a handful of reported cases. Our patient was treated conservatively with advice about potential complications.

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Section: Case Reportsupporting

confidence: 68%

A double aortic arch presenting in the 7th decade of life

Vatish¹,

McCarthy²,

Perriss

2013

Journal of Surgical Case Reports

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“…In most cases of DAA, the right aortic arch (75%) is larger than the left, which often becomes degenerated and atretic or remains as a fibrous band and in 5%, the arches are equal (1, 2). The associated cardiac anomalies are uncommon and may be found in about 20% of DAA patients, but when present, the most common associated cardiac defects include tetralogy of Fallot and transposition of great arteries (4,6). In our case, the patient had a balanced type of DAA which the descending aorta located on the left side and also, he did not have any intra cardiac defects.…”

Section: Discussionmentioning

confidence: 53%

“…The symptoms typically consist of snoring, dyspnea, cough, apnea and cyanosis, recurrent respiratory infections, and dysphagia. Older children may present with gastrointestinal symptoms such as dysphagia, slow feeding and vomiting caused by esophageal compression (2,4,9). Kondo and colleagues reviewed 15 adult cases of DAA which required surgery.…”

Section: Discussionmentioning

confidence: 99%

Balanced Double Aortic Arch in a Child With Effort Dyspnea: A Case Report

Hoseinikhah¹,

Moeinipour²,

Ghorbanzadeh³

et al. 2016

Acta Healthmedica

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Introduction: Vascular ring is a relatively rare congenital malformation of the aortic arches which causes trachea-esophageal compression. Double aortic arch is the common form of complete vascular rings. This anomaly is usually presented with respiratory symptoms in early infancy. Case presentation: A 5-year-old boy was referred to our hospital because of frequent episodes of cough and effort dyspnea. The final diagnosis was double aortic arch, and was established after magnetic resonance angiography which showed balanced type double aortic arch that completely encircled the trachea and esophagus. Conclusion: Double aortic arch is a complete form of vascular ring and it is an important cause of recurrent respiratory symptoms in infants and children. Our report emphasizes the importance of evaluating children with persistent respiratory symptoms for vascular rings. Early diagnosis and appropriate treatment of this anomaly is associated with a good outcome.

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“…An extensive review of the literature yields a total of 58 asymptomatic or unrepaired vascular rings documented over the course of 18 studies, including the current study [4,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22]. Table 1 summarizes the characteristics of the individual cases while Table 2 summarizes the overall characteristics of the cohort.…”

Section: Discussionmentioning

confidence: 99%

Natural History of Asymptomatic and Unrepaired Vascular Rings: Is Watchful Waiting a Viable Option? A New Case and Review of Previously Reported Cases

Loomba

2016

Children

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Vascular rings are a rare form of congenital heart disease in which abnormal aortic arch anatomy leads to encircling of the esophagus and/or trachea by the aortic vasculature. Symptoms can develop from this and prompt the need for surgery. A natural history study has been done on mildly symptomatic patients but no such study has been done on asymptomatic patients. We present a case report of three children with asymptomatic vascular rings who continue to receive follow-up without intervention and review all published cases of asymptomatic or unrepaired vascular rings. Clinical observation of asymptomatic and mildly symptomatic vascular rings, regardless of aortic arch anatomy, seems to be a safe approach. Children with mild symptoms almost invariably seem to have resolution of their symptoms by four years of age.

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A Case of Balanced Type Double Aortic Arch Diagnosed Incidentally by Transthoracic Echocardiography in an Asymptomatic Adult Patient

Cited by 17 publications

References 17 publications

A double aortic arch presenting in the 7th decade of life

A double aortic arch presenting in the 7th decade of life

Balanced Double Aortic Arch in a Child With Effort Dyspnea: A Case Report

Natural History of Asymptomatic and Unrepaired Vascular Rings: Is Watchful Waiting a Viable Option? A New Case and Review of Previously Reported Cases

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