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

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.

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

2020 ◽  
Author(s):  
Hafize Otcu Temur ◽  
Can Yilmaz Yozgat ◽  
Selcuk Uzuner ◽  
Murat Ugurlucan ◽  
Hakan Yazan ◽  
...  
Keyword(s):  
Respiratory Distress ◽  
Aortic Arch ◽  
Respiratory Symptoms ◽  
Vascular Ring ◽  
Upper Airway ◽  
The State ◽  
Double Aortic Arch ◽  
Rare Anomaly

AbstractDouble aortic arch (DAA) is a common form of complete vascular ring. The state of the condition leads to upper airway impediment and compression of the esophagus. A balanced DAA is an extremely rare anomaly. The anatomical aberration cannot be easily diagnosed with echocardiography when an infant has chronic respiratory distress. Herein, we present the case of an 11-month-old girl who had chronic respiratory distress and a balanced DAA.

Double aortic arch presenting as neonatal respiratory failure in the delivery room

2017 ◽  
Vol 28 (3) ◽  
pp. 476-478
Author(s):  
Marc Lee ◽  
T. K. Susheel Kumar ◽  
Govinda Paudel
Keyword(s):  
Respiratory Failure ◽  
Airway Obstruction ◽  
Aortic Arch ◽  
Respiratory Symptoms ◽  
Neonatal Period ◽  
Vascular Ring ◽  
Common Type ◽  
Double Aortic Arch ◽  
Delivery Room

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.

Persistent wheezing along with apparent stridor caused by a rare anomaly: double aortic arch

2020 ◽  
pp. 004947552095990
Author(s):  
Şule Gökçe ◽  
Nüsabe Abdullayeva ◽  
Feyza Koç ◽  
Hüseyin Hüdaver Alper
Keyword(s):  
Aortic Arch ◽  
Vascular Ring ◽  
Common Type ◽  
Double Aortic Arch ◽  
Abnormal Development ◽  
Vascular Rings ◽  
Aortic Arch Anomaly ◽  
Rare Anomaly

Vascular rings are rare anomalies that occur as a result of abnormal development of the aortic arch complex, often manifested by signs of tracheo-oesophageal compression during the infant period. A double aortic arch anomaly is the most common type of vascular ring pathology. Here we report a case presenting with wheezing and stridor in a 10-month-old child.

scholarly journals Airway and Anaesthetic Challenges in a Child With Bronchus Suis and Superimposed Double Aortic Arch

2021 ◽  
Vol 21 (1) ◽  
pp. e132-136
Author(s):  
Nigel Kuriakose ◽  
Mohamed Al-Ismaili ◽  
Sameer Raniga ◽  
Rohit Date ◽  
Ali Al-Abady ◽  
...  
Keyword(s):  
Respiratory Distress ◽  
Aortic Arch ◽  
Vascular Ring ◽  
Vascular Anomaly ◽  
Double Aortic Arch ◽  
University Hospital ◽  
Fibreoptic Bronchoscopy ◽  
Fetal Life ◽  
Tracheal Bronchus ◽  
Single Lumen

Bronchus suis or tracheal bronchus is an accessory bronchus arising from the trachea above the carina. Double aortic arch is a congenital vascular anomaly with persistence of both left and right aortic arches beyond fetal life which can form a vascular ring compressing the major airways and may be symptomatic. We report the case of a 16-month-old girl who had recurrent episodes of respiratory distress requiring multiple hospitalisations and was diagnosed at the Sultan Qaboos University Hospital, Muscat, Oman in 2019 with a double aortic arch compressing upon a tracheal bronchus causing symptomatic emphysema of the right upper lobe. This report presents anaesthetic and airway challenges during the patient’s lobectomy. A single lumen cuffed endotracheal tube was successfully used as a bronchial blocker to occlude the origin of the aberrant bronchus. The position of the tube was confirmed intraoperatively using fibreoptic bronchoscopy. Following her discharge, she continued to have recurrent episodes of respiratory distress and three months after her last appointment she succumbed to her illness. To the best of the authors’ knowledge, this is the first such reported case in Oman.   KEYWORDS Bronchus; Trachea; Aortic Arch; Endotracheal Intubation; Bronchoscopy; Anesthesia; Lobar Pneumonia; Oman.

scholarly journals Stridor at birth: a diagnostic dilemma

2021 ◽  
Author(s):  
Rajparath Ragu ◽  
Ramkumaar U.
Keyword(s):  
Congenital Anomaly ◽  
Respiratory Distress ◽  
Aortic Arch ◽  
Vascular Ring ◽  
Common Type ◽  
Double Aortic Arch ◽  
Diagnostic Dilemma ◽  
Diagnosis And Management ◽  
Common Complaint

Stridor is a common complaint in neonates. Double aortic arch (DAA) is a congenital anomaly of the aortic arch. It is the most common type of complete vascular ring. When it occurs, the connected segment of the aortic arch and its branches encircle the trachea and esophagus, leading to symptoms related to these two structures. Association with respiratory distress mandates early flexible bronchoscopic examination of the airway. We report here the diagnosis and management of a neonate with double aortic arch that presented as stridor at birth. Persistence of stridor after surgery and its management was highlighted. 

Vascular ring surgery – can we do better?

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
G Amir ◽  
N Soffair ◽  
G Frenkel ◽  
E Bruckheimer ◽  
E Nachum ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Respiratory Symptoms ◽  
Ductus Arteriosus ◽  
Vascular Ring ◽  
Symptomatic Relief ◽  
Mirror Image ◽  
Vascular Rings ◽  
Number Of Patients ◽  
Age At Surgery

Abstract Background Vascular anomalies of the Aortic arch can cause respiratory symptoms in children due to tracheal compression. Treatment consists of division of the vascular rings, nevertheless data regarding mid- term results is scarce. The purpose of this study was to evaluate clinical results of vascular ring surgery. Methods Between2007–2014, 85 children underwent vascular ring surgery. 51 had Double Aortic Arch (DAA, 60%), 31 Right Arch with Aberrant Subclavian Artery (RAA & ALSA, 36.5%) and 3 had RAA, mirror image branching & left ductus arteriosus (3.5%). Mean age and weight at operation were 12.4±13months and 8.6±4.1 kg respectively. Mid-term follow-up included clinical follow up by a pulmonologist (38 patients, 44.7%) and a telephone questionnaire (71 patients, 83%) performed 57±25.7 months after surgery. Results In most patients, symptomatic relief occurred in less than 6 months (table 1). Mid –term follow up revealed that although most parents described a significant improvement in their child's respiratory symptoms (95%), a significant number of patients described some residual respiratory symptoms (table 2). We did not find any significant association between age at surgery (under 6 month), or vascular ring anatomy (DAA vs. RAA&ASA) and the presence of residual symptoms at follow up Conclusions Surgical division of vascular rings results in a significant clinical improvement within one year, nevertheless many patients remain symptomatic to some degree. We found no association between the age at surgery or anatomic variant to the presence of symptoms in mid- term follow up. Further evaluation whether a more aggressive surgical approach is warranted in order to decrease the incidence long-term symptoms. Funding Acknowledgement Type of funding source: None

Double aortic arch: an elusive diagnosis in a child with CHD

2021 ◽  
pp. 1-3
Author(s):  
Mariana Lemos ◽  
Miguel Fogaça da Mata ◽  
Ana Coutinho Santos
Keyword(s):  
Ventricular Septal Defect ◽  
Pulmonary Artery ◽  
Aortic Arch ◽  
Ct Angiography ◽  
Septal Defect ◽  
Vascular Ring ◽  
Pulmonary Atresia ◽  
Double Aortic Arch ◽  
Shunt Surgery

Abstract An 18-month-old male with pulmonary atresia and ventricular septal defect presented with stridor after neonatal systemic-to-pulmonary artery shunt surgery, that persisted on follow-up. CT angiography revealed a vascular ring with balanced double aortic arch.

scholarly journals Complete Vascular Ring Detected by Barium Esophagography

2002 ◽  
Vol 81 (8) ◽  
pp. 554-555 ◽  
Author(s):  
Liam J. Skinner ◽  
Stephanie Ryan ◽  
John D. Russell
Keyword(s):  
Aortic Arch ◽  
Vascular Ring ◽  
Double Aortic Arch ◽  
Vascular Rings ◽  
Barium Esophagography

The diagnosis of a vascular ring can be made on the basis of characteristic findings on barium esophagography. We report a case of a double aortic arch in a 9-month-old girl that was diagnosed in this manner, and we briefly review the anatomic characteristics of vascular rings.

Un suono che inganna: quando sospettare il doppio arco aortico

2021 ◽  
Vol 24 (4) ◽  
pp. 109-113
Author(s):  
Virginia Giannone ◽  
Manuela Goia ◽  
Elisabetta Bignamini
Keyword(s):  
Respiratory Distress ◽  
Respiratory Symptoms ◽  
Vascular Ring ◽  
Male Infant ◽  
Chest Ct ◽  
Tracheal Compression ◽  
Contrast Enhanced ◽  
Precise Diagnosis ◽  
Vascular Structures ◽  
Chest Ct Scan

The article describes a case of a 10-month-old male infant presenting with respiratory distress, laryngotracheitis and double aortic arch (DAA). Tracheal compression by vascular structures in infants is uncommon and may be masked by nonspecific respiratory symptoms. DAA is the most common vascular ring. Doctors should think about a congenital vascular ring due to DAA in children with repeated episodes of laryngitis, hissing breath, cough and dyspnoea when other common aetiologies are excluded. A precise diagnosis can be made through the contrast-enhanced chest CT scan.

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