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[Double aortic arch in infancy and childhood].

G Bein, D Wolf

    Zeitschrift Fur Kardiologie
    |June 1, 1975
    PubMed
    Summary

    Diagnosis of double aortic arch in children is best confirmed with angiography. This vascular anomaly can cause severe respiratory distress and dysphagia, often requiring surgical intervention for symptom resolution.

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    Area of Science:

    • Cardiology
    • Pediatric Surgery
    • Medical Imaging

    Background:

    • Double aortic arch is a rare congenital vascular anomaly.
    • It can lead to significant airway compression and feeding difficulties in infants and children.

    Purpose of the Study:

    • To evaluate the diagnostic accuracy of angiography in identifying double aortic arch.
    • To describe the clinical presentation and surgical outcomes of children with this condition.

    Main Methods:

    • Retrospective review of six pediatric cases diagnosed with double aortic arch.
    • Diagnostic methods included oesophagography and angiography, with angiography performed via right heart catheterization.

    Main Results:

    • Angiography confirmed double aortic arch in all six patients.
    • Five patients had a right-sided descending aorta with a hypoplastic, stenotic left arch.
    • One patient had a left-sided descending aorta with equal arch sizes. Symptomatic presentation included severe inspiratory stridor and dysphagia. Surgical intervention was required for most symptomatic cases, with variable outcomes.

    Conclusions:

    • Angiography is a highly effective diagnostic tool for double aortic arch.
    • Early diagnosis and surgical management are crucial for improving outcomes in symptomatic children.
    • The anatomical variations of double aortic arch influence clinical presentation and management strategies.

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