BALANCED DOUBLE AORTIC ARCH IN A CHILD WITH EFFORT DYSPNEA: A CASE REPORT

Authors

  • Mohammad Abbasi Teshnisi 1: M.D., Assistant Professor of Cardiac Surgery, Department of Cardiac Surgery, Atherosclerosis Prevention Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran 2: Medical Student, Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran 3: M.D., Assistant Professor of Pediatric Cardiology, Faculty of Medicine, Imam Reza Hospital, Mashhad University of Medical Science, Mashhad, Iran 4: M.D., Associated Professor of Anesthesiology, Facility of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran 5: M.D., Associated Professor of Cardiac Surgery, Department of Cardiac Surgery, Atherosclerosis Prevention Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Keywords:

Vascular ring, Double aortic arch, Cough, Exertional dyspnea

Abstract

Abstract

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.

 

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Published

2016-09-04

Issue

Vol. 1 No. 3 (2016): July-September 2016

Section

Articles