Double aortic arch as a source of airway obstruction in a child

AbstractRespiratory symptoms are prevalent in vascular ring anomalies, including double aortic arch, which is considered the most common type of vascular ring. However, respiratory failure owing to critical airway obstruction in the neonatal period is rare with few reported cases in the literature. We report a case of a newborn patient who required emergent intubation within the first few hours of life and was later discovered to have a double aortic arch.

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Prenatal Tracheal Obstruction Due to Double Aortic Arch: A Potential Mimic of Congenital High Airway Obstruction Syndrome

American Journal of Roentgenology ◽

10.2214/ajr.05.0356 ◽

2007 ◽

Vol 188 (1) ◽

pp. W82-W85 ◽

Cited By ~ 17

Author(s):

Dorothy J. Shum ◽

Matthew S. Clifton ◽

Fergus V. Coakley ◽

Lisa K. Hornberger ◽

Bonnie N. Joe ◽

...

Keyword(s):

Airway Obstruction ◽

Aortic Arch ◽

Double Aortic Arch ◽

Tracheal Obstruction

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Airway Obstruction Caused by Transesophageal Echocardiography ina Patient with Double Aortic Arch and Truncus Arteriosus

Journal of the American Society of Echocardiography ◽

10.1016/s0894-7317(99)70093-3 ◽

1999 ◽

Vol 12 (6) ◽

pp. 540 ◽

Cited By ~ 8

Author(s):

Colin K. Phoon ◽

Nisha Bhardwaj

Keyword(s):

Airway Obstruction ◽

Transesophageal Echocardiography ◽

Aortic Arch ◽

Double Aortic Arch ◽

Truncus Arteriosus

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Balanced Double Aortic Arch Causing Persistent Respiratory Symptoms Mimicking Asthma in an Infant

Journal of Pediatric Intensive Care ◽

10.1055/s-0040-1712959 ◽

2020 ◽

Author(s):

Hafize Otcu Temur ◽

Can Yilmaz Yozgat ◽

Selcuk Uzuner ◽

Murat Ugurlucan ◽

Hakan Yazan ◽

...

Keyword(s):

Respiratory Distress ◽

Airway Obstruction ◽

Aortic Arch ◽

Transthoracic Echocardiography ◽

Respiratory Symptoms ◽

Vascular Ring ◽

Double Aortic Arch ◽

Rare Anomaly

AbstractDouble aortic arch (DAA) is a common form of complete vascular ring. The condition leads to airway obstruction and compression of the esophagus. A balanced type of DAA is an extremely rare anomaly. The anatomical aberration cannot be easily distinguished by transthoracic echocardiography when an infant has chronic respiratory distress. Herein we presented a case of an 11-month-old infant who had chronic respiratory distress and a balanced type of DAA.

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Airway Obstruction with Esophageal Monitors in a Patient with Double Aortic Arch

Anesthesiology ◽

10.1097/00000542-198510000-00029 ◽

1985 ◽

Vol 63 (4) ◽

pp. 465-465 ◽

Cited By ~ 1

Author(s):

S. S. MOORTHY ◽

KENNETH A. HASELBY ◽

KARL D. STEIN

Keyword(s):

Airway Obstruction ◽

Aortic Arch ◽

Double Aortic Arch

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Aortopexy for Life-Threatening Airway Obstruction Following Division of Double Aortic Arch

World Journal for Pediatric and Congenital Heart Surgery ◽

10.1177/2150135117709023 ◽

2017 ◽

Vol 11 (4) ◽

pp. NP66-NP68

Author(s):

Katrina Hammond-Jack ◽

Karthik Vaidyanathan Ramakrishnan ◽

Dilip S. Nath

Keyword(s):

Airway Obstruction ◽

Aortic Arch ◽

Double Aortic Arch ◽

Airway Compression ◽

Life Threatening ◽

Aortic Arches

Symptoms of airway compression secondary to double aortic arch are relieved by division of one of the two aortic arches. However, in some cases inherent tracheomalacia and other factors may result in persistence of symptoms. We report one such occurrence in our experience and describe the use of aortopexy as a curative procedure to tackle this problem.

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