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Double aortic arch diagnosed in a 44-year-old woman with recurring respiratory infections

Ana Fenández-Tena1, Cristina Martínez-González1

  • 1University of Oviedo, Hospital Universitario Central de Asturias (HUCA), Avda de Roma s/n, 33011 Oviedo, Spain.

Respiratory Medicine Case Reports
|March 21, 2017
PubMed

Insights

Complete vascular rings, like double aortic arch, can compress airways and the esophagus. This case highlights a rare adult diagnosis, suspected via spirometry and chest X-ray, challenging typical infant presentation.

Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Thoracic Surgery

Background:

  • Complete vascular rings result from persistent fourth aortic arches, encircling the trachea and esophagus.
  • The double aortic arch is the most frequent type of complete vascular ring.
  • Compression of the trachea and esophagus leads to characteristic symptoms.

Observation:

  • Symptoms of vascular rings typically manifest in early infancy.
  • Diagnosis commonly involves chest X-ray and esophagogram for dysphagia.
  • This report details a double aortic arch diagnosed in adulthood.

Findings:

  • The adult diagnosis was suspected using spirometry and chest X-ray.
  • This contrasts with the typical presentation and diagnostic methods in infants.
  • The case underscores the potential for delayed diagnosis of vascular rings.

Implications:

  • Highlights the importance of considering vascular rings in adults with respiratory or swallowing issues.
  • Suggests spirometry as a potential diagnostic tool for suspected vascular rings in adults.
  • Emphasizes the need for broader diagnostic considerations beyond typical pediatric presentations.

Keywords:
Double aortic archDysphagiaDyspneaVascular ring

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