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Double aortic arch: a rare cause of stridor in infants

Youssef Aladham1, Quentin Bonduelle1, John Yaro1

  • 1Department of Otolaryngology, University Hospitals of Derby and Burton, Derby, UK.

Journal of Surgical Case Reports
|January 6, 2022
PubMed

Insights

Double aortic arch, a common vascular ring anomaly, can cause infant stridor mimicking infections. Early suspicion and advanced imaging are crucial for diagnosis.

Area of Science:

  • Cardiology
  • Paediatric Surgery
  • Medical Imaging

Background:

  • Double aortic arch is the most common congenital vascular ring anomaly, often leading to tracheal and oesophageal compression.
  • Symptoms like stridor in infants and children can be misdiagnosed as respiratory infections or foreign body aspiration.

Observation:

  • A case of a stridulous infant presenting with a double aortic arch is reported.
  • The infant's stridor was initially concerning for other paediatric respiratory conditions.

Findings:

  • Double aortic arch can present insidiously with symptoms of airway compression.
  • High index of suspicion is necessary for timely diagnosis in infants with stridor.

Implications:

  • Early diagnosis of double aortic arch is critical to prevent complications from tracheal and oesophageal compression.
  • Contrast-enhanced computed tomography and cardiac magnetic resonance imaging are essential for definitive diagnosis of vascular rings.

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