Double Aortic Arch Presents With Dysphagia as Initial Symptom

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Double aortic arch with hypoplastic right aortic arch and type C atresia of left aortic arch.

We report the case of a 2-month-old baby with a double aortic arch, type C atresia of the left arch and severe hypoplasia of the right aortic arch between the right carotid and subclavian arteries, resulting in systemic obstruction, left ventricular dysfunction and congestive heart failure. Surgical augmentation of the right aortic arch ameliorated the obstruction with improvement in left ventr...

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[Double aortic arch].

In conclusion, the diagnosis of DAA should be suspected in an infant with either biphasic stridor or feeding-related respiratory distress. Radiographic studies combined with appropriate thorough endoscopic evaluation should confirm clinical suspicion. Thoracotomy with surgical division of the DAA has given excellent long-term results.

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Double aortic arch.

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Asymptomatic double aortic arch

A 51-year-old male patient with a past history of lung tuberculosis was referred to our clinic for routine control. The patient reported no complaints and chest X-ray was normal. Three-dimensional thoracic computed tomography revealed a balanced-type double aortic arch with no compression of trachea or esophagus.

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Asymptomatic double aortic arch.

chest X-ray film (Fig. 1). Clinical examination was normal. Computed tomographic angiography of the chest (Figs. 2, 3) showed a balanced type of double aortic arch, both of which arose from the ascending aorta anterior to the tracheae. Each arch gave origin to the common carotid and subclavian artery, and joined right posterior ward to form the descending aorta. The patient had neither respirat...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 2012

ISSN: 0735-1097

DOI: 10.1016/j.jacc.2012.02.084