Related Experiment Video
Updated: Aug 5, 2026
06:51
A Minimally Invasive Model of Aortic Stenosis in Swine
Published on: October 20, 2023
"Heart Sign" with Double Aortic Arch
Michael Scott Binder1, David Majdalany1
1Mayo Clinic, Rochester, NY 55901, USA.
Diagnostics (Basel, Switzerland)
|July 28, 2026
Summary
Double aortic arches are rare congenital vascular malformations. Surgical resection of the nondominant arch is typically recommended to alleviate symptoms caused by vascular rings.
Area of Science:
- Cardiology
- Congenital Malformations
- Vascular Surgery
Background:
- Double aortic arches are rare congenital malformations.
- Persistence of both right and left aortic arches leads to vascular rings.
- These rings can compress the trachea and esophagus, causing dysphagia and respiratory issues.
Purpose of the Study:
- To summarize the presentation and management of double aortic arches.
- To highlight the surgical approach for symptomatic patients.
Main Methods:
- Review of congenital vascular malformation cases.
- Description of surgical resection techniques for double aortic arches.
- Intraoperative monitoring of carotid and subclavian arteries.
Main Results:
- Double aortic arches can present in childhood or adulthood.
- Surgical resection of the nondominant arch effectively releases the vascular ring.
- Intraoperative monitoring ensures adequate distal perfusion post-surgery.
Conclusions:
- Double aortic arches are a treatable cause of dysphagia and respiratory distress.
- Surgical intervention is the standard treatment for symptomatic individuals.
- Careful surgical planning and monitoring are crucial for successful outcomes.
Related Concept Videos
01:10The Arch of Aorta
The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Encircling the heart, the coronary arteries form a ring-like structure before...
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
01:22Aortic Regurgitation II: Clinical Features and Diagnostic Tests
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
01:14The Aorta
The aorta is the largest artery in the human body. It originates from the left ventricle of the heart and extends down to the abdomen, where it splits into two smaller arteries. Structurally, it can be divided into four main parts: the ascending aorta, the aortic arch, the thoracic aorta, and the abdominal aorta.
The average diameter of the aorta is approximately 2-3 cm, but the size can vary depending on the section of the aorta and the individual's age, sex, and body size. The aorta is...
The average diameter of the aorta is approximately 2-3 cm, but the size can vary depending on the section of the aorta and the individual's age, sex, and body size. The aorta is...
01:15Thoracic Aorta
The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
01:30Aneurysm I: Introduction
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...