Double Aortic Arch in Adolescence: A Case Report

Abstract

Introduction: Double aortic arch (DAA) is the most frequently encountered vascular ring malformation characterized by a complete encirclement of the trachea and esophagus by the aortic arch with a wide clinical spectrum. Objective: The aim of this study is to describe a case of DAA in adolesecents. Case Presentation: An 11-year-old boy was admitted for chronic productive cough which initially was diagnosed with pulmonary arterial hypertension. The final diagnosis was DAA which was established after chest computed tomography (CT) scan. Conclusion: Establishing a diagnosis of DAA in adolescents requires thorough understanding and clinical skills in performing diagnostic steps. The management of heart failure symptoms and other comorbidities is essential while preparing for its definite therapy.

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

“…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.…”

“…Vascular ring is a relatively rare congenital malformation of the aortic arch that its branches completely or partially encircle and compress the trachea or esophagus, or both (1)(2)(3). The high numbers of these are double aortic arches (DAA), which it is the result of the persistence of both right and left fourth aortic arches.…”

“…The trachea and esophagus are completely encircled and sometimes compressed by the two arches. This anomaly is usually diagnosed during infancy due to symptoms such as dyspnea, stridor, cough, wheezing, recurrent respiratory tract infections or dysphagia (2,3). The right (posterior) arch gives origin to the right carotid and subclavian arteries.…”