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Related Experiment Videos

Pierre Robin sequence and double aortic arch: a case report.

Edward T Waters1, James P Oberman, Abhik K Biswas

  • 1Department of Pediatrics, Naval Hospital Beaufort, One Pinckney Blvd., Beaufort, SC 29902, USA. taguas@pol.net

International Journal of Pediatric Otorhinolaryngology
|January 4, 2005
PubMed
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A neonate with respiratory failure initially diagnosed with Pierre Robin sequence (PRS) and laryngomalacia was later found to have a double aortic arch (DAA). This highlights the importance of thorough airway evaluation in infants with severe stridor.

Area of Science:

  • Pediatric Otolaryngology
  • Neonatal Respiratory Medicine
  • Congenital Cardiovascular Surgery

Background:

  • Severe respiratory distress in neonates can stem from various congenital anomalies.
  • Pierre Robin sequence (PRS) and laryngomalacia are common causes of upper airway obstruction in infants.
  • Early diagnosis and management are crucial for improving outcomes in neonates with respiratory failure.

Observation:

  • An 8-day-old female presented with recurrent respiratory failure.
  • Initial diagnosis included PRS and laryngomalacia, but symptoms persisted.
  • A new cardiac murmur prompted further investigation, revealing a double aortic arch (DAA) causing tracheal compression.

Findings:

  • Direct laryngobronchoscopy confirmed a double aortic arch (DAA) as the cause of distal tracheal compression.

Related Experiment Videos

  • The DAA was synchronous with the initial diagnosis of PRS and laryngomalacia.
  • This case underscores the potential for co-existing airway lesions in neonates.

    • Implications:

    • A comprehensive otolaryngic evaluation, including direct laryngobronchoscopy, is essential for neonates with severe respiratory distress and stridor.
    • Failure to identify synchronous airway lesions like DAA can lead to delayed or incorrect diagnosis and treatment.
    • This case emphasizes the need for a multidisciplinary approach in managing complex neonatal respiratory conditions.