Management and Outcomes of Double Aortic Arch in 81 Patients

Al-Senaidi, Khalfan S.; Gurofsky, Rebecca; Karamlou, Tara; Williams, William G.; McCrindle, Brian W.

doi:10.1542/peds.2006-1097

Cited by 164 publications

(160 citation statements)

References 22 publications

Supporting

Mentioning

141

Contrasting

Unclassified

Order By: Relevance

“…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: 54%

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

Hoseinikhah¹,

Moeinipour²,

Ghorbanzadeh³

et al. 2016

Acta Healthmedica

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 54%

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

Hoseinikhah¹,

Moeinipour²,

Ghorbanzadeh³

et al. 2016

Acta Healthmedica

View full text Add to dashboard Cite

show abstract

“…The aortic arch and trachea were imaged in transverse view of the fetal upper thorax (three-vessel and tracheal view) on prenatal echocardiography. As RAA is usually a large main aortic arch and LAA is relatively small in 70% of cases with DAA [15] and as the transverse aorta lies to the right of the trachea, the RAA can be readily identified in a transverse view of the fetal upper thorax. A patient with prenatal diagnosis of DAA was presented.…”

Section: Discussionmentioning

confidence: 99%

A Case of Prenatal Presentation with Double Aortic Arch

Shiono¹,

Takei

Yamada³

et al. 2015

J Neonatal Biol

View full text Add to dashboard Cite

Double aortic arch (DAA) is a form of vascular ring found in approximately 1 in 2000-4000 pregnancies on fetal echocardiography. In some cases of DAA, respiratory compromise occurs during infancy due to compression of the trachea, which is completely encircled by the right aortic arch (RAA) and left aortic arch (LAA). RAA and left arterial duct were initially seen on screening fetal echocardiography in a 36-year-old Japanese woman at gestational week (GW) 23. The fetus was later found to have DAA by detailed echocardiography at GW 26. The female neonate born at GW 38 weighing 2894 g with 1-and 5-minute Apgar scores of 8 and 9, respectively, developed tachypnea, stridor, and wheezing soon after birth, and underwent successful surgical correction 10 hours after birth. Thus, prenatal diagnosis of DAA aided in early recovery in this case.

show abstract

“…The patients with DAA are usually symptomatic with respiratory and gastrointestinal symptoms or signs. Respiratory symptoms were stridor, wheezing, cough, recession, bronchiolitis, croup, recurrent chest and upper respiratory tract infections, tachypnea, apnea, pneumonia, asthma, respiratory arrest, shortness of breath, aspiration and increased oral secretion (10). Gastrointestinal signs were choking with feeds, dysphagia, failure to thrive, emesis and cyanosis with feeds (10).…”

Section: Discussionmentioning

confidence: 99%

“…When present, the associated cardiac defects are usually cyanotic, including tetralogy of Fallot and transposition of great arteries (10,13). Other commonly associated cardiac deffects include coarctation of the aorta, ventricular septal defect, atrial septal defect, PDA and chromosomal anomalies such as DiGeorge and trisomy 18, 21 and also extracardiac anomalies, esophageal atresia and brachial sinus (10,13,17,18). In our case there was a dextrocardia and, DAA with mirror-image dextrocardia was rarely reported in the literature.…”

Section: Discussionmentioning

confidence: 99%