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Double aortic arch presenting with a foreign object in the oesophagus: a case report and imaging diagnosis

Xiuzhen Yang1, Jingjing Ye1, Zhan Gao2

  • 11Department of Echocardiography,Children's Hospital,School of Medicine,Zhejiang University,Hangzhou,China.

Cardiology in the Young
|May 26, 2017
PubMed

Insights

A rare double aortic arch in a child initially presented with an esophageal foreign body. Diagnosis was confirmed with CT angiography, and corrective surgery led to a full recovery.

Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Medical Imaging

Background:

  • Double aortic arch is a rare congenital anomaly of the aorta.
  • Esophageal foreign bodies are common in children and can present with various symptoms.

Observation:

  • A 2-year-old boy presented with cough and vomiting after ingesting a coin.
  • Chest X-ray revealed a foreign object, which was removed via gastroduodenoscopy.
  • Echocardiography and CT angiography diagnosed a double aortic arch with specific branching anomalies and left arch atresia.

Findings:

  • The double aortic arch involved distinct origins of the left subclavian artery and left/right common carotid arteries from the left arch.
  • The right subclavian artery originated from the right arch.
  • Atresia of the distal left arch was noted.

Implications:

  • Double aortic arch should be considered in pediatric patients presenting with esophageal foreign bodies.
  • Echocardiography and CT angiography are crucial for diagnosing this rare condition.
  • Surgical correction offers a favorable prognosis.

Keywords:
CT angiographyDouble aortic archechocardiographyforeign objectvascular ring

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