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An unusual case of recurrent stridor in a child

Nepal Chandra Mahapatra1, Arindam Bandyopadhyay, Ananta Kumar Datta

  • 1Department of Paediatrics. Calcutta National Medical College, Kolkata, India.

Journal of the Indian Medical Association
|September 5, 2013
PubMed

Insights

A child

Area of Science:

  • Pediatric Cardiology
  • Thoracic Surgery

Background:

  • Recurrent stridor in children can be challenging to diagnose.
  • Laryngomalacia is a common cause, but persistent symptoms warrant further investigation.

Observation:

  • A two-year-old presented with recurrent stridor, unresponsive to initial laryngomalacia treatment.
  • Symptoms were exacerbated during respiratory infections, with normal feeding, growth, and no significant respiratory distress.
  • CT imaging revealed tracheal compression and an incomplete double aortic arch.

Findings:

  • Incomplete double aortic arch causing moderate tracheal compression.
  • Symptomatic presentation primarily during respiratory infections.

Implications:

  • Highlights the importance of advanced imaging for persistent stridor.
  • Suggests conservative management for asymptomatic or mildly symptomatic vascular rings.
  • Emphasizes individualized treatment based on symptom severity and patient factors.

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