Double Aortic Arch in Adolescence: A Case Report

Abstract

Introduction: Double aortic arch (DAA) is the most frequently encountered vascular ring malformation characterized by a complete encirclement of the trachea and esophagus by the aortic arch with a wide clinical spectrum. Objective: The aim of this study is to describe a case of DAA in adolesecents. Case Presentation: An 11-year-old boy was admitted for chronic productive cough which initially was diagnosed with pulmonary arterial hypertension. The final diagnosis was DAA which was established after chest computed tomography (CT) scan. Conclusion: Establishing a diagnosis of DAA in adolescents requires thorough understanding and clinical skills in performing diagnostic steps. The management of heart failure symptoms and other comorbidities is essential while preparing for its definite therapy.

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Rahayuningsih, S. , Kuswiyanto, R. , Haryanti, M. and Phangkawira, E. (2015) Double Aortic Arch in Adolescence: A Case Report. Open Journal of Pediatrics, 5, 99-103. doi: 10.4236/ojped.2015.52015.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Gross, R.E. (1955) Arterial Malformations Which Cause Compression of the Trachea or Esophagus. Circulation, 11, 124-134.
http://dx.doi.org/10.1161/01.CIR.11.1.124
[2] Kau, T., Lesnik, G., Eicher, W., Sinzig, M., Gasser, J., Rabitsch, E., et al. (2007) Aortic Development and Anomalies. Seminars in Interventional Radiology, 24, 141-152.
http://dx.doi.org/10.1055/s-2007-980040
[3] Baraldi, R., Address, S.S., Bighi, S. and Mannella, P. (2004) Vascular Ring Due to Double Aortic Arch: A Rare Cause of Dysphagia. European Journal of Radiology, 52, 21-24.
http://dx.doi.org/10.1016/j.ejrex.2004.06.001
[4] Umegaki, T., Sumi, C., Nishi, K., Ikeda, S. and Shingu, K. (2010) Airway Management in an Infant with Double Aortic Arch. Journal of Anesthesia, 24, 117-120.
http://dx.doi.org/10.1007/s00540-009-0850-4
[5] Weinberg, P.M. (2006) Aortic Arch Anomalies. Journal of Cardiovascular Magnetic Resonance, 8, 633-643.
[6] Lowe, G.M., Donaldson, J.S. and Backer, C.L. (1991) Vascular Rings: 10-Year Review of Imaging. Radographics, 11, 637-646.
http://dx.doi.org/10.1148/radiographics.11.4.1887119
[7] Chang, A.B., Redding, G.J. and Everard, M.L. (2008) Chronic Wet Cough: Protracted Bronchitis, Chronic Suppurative Lung Disease and Bronchiectasis. Pediatric Pulmonology, 43, 519-531.
http://dx.doi.org/10.1002/ppul.20821
[8] Chang, A.B., Grimwood, K., Maguire, G., King, P.T., Morris, P.S. and Torzillo, P.J. (2008) Management of Bronchiectasis and Chronic Suppurative Lung Disease in Indigenous Children and Adults from Rural and Remote Australian Communities. Medical Journal of Australia, 189, 386-393.
[9] McNeil, C., MacGregor, A.R. and Alexander, W.A. (1929) Studies of Pneumonia in Childhood: I. Statistical Analysis of Pneumonia and Bronchitis. Archives of Disease in Childhood, 4, 12-32.
[10] King, P.T. (2009) The Pathophysiology of Bronchiectasis. International Journal of Chronic Obstructive Pulmonary Disease, 4, 411-419.
http://dx.doi.org/10.2147/COPD.S6133
[11] McLaughlin, V.V., Archer, S.L., Badesch, D.B., Barst, R.J., Farber, H.W., Lindner, J.R., et al. (2009) ACCF/AHA 2009 Expert Consensus Document on Pulmonary Hypertension: A Report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents and the American Heart Association: Developed in Collaboration with the American College of Chest Physicians, American Thoracic Society, Inc., and the Pulmonary Hypertension Association. Circulation, 119, 2250-2294.
[12] Widlitz, A. and Barst, R.J. (2003) Pulmonary Arterial Hypertension in Children. European Respiratory Journal, 21, 155-176.
http://dx.doi.org/10.1183/09031936.03.00088302
[13] Barst, R., Maislin, G. and Fishman, A. (1999) Vasodilator Therapy for Primary Pulmonary Hypertension in Children. Circulation, 99, 1197-1208.
http://dx.doi.org/10.1161/01.CIR.99.9.1197
[14] Zeng, W.J., Sun, Y.J., Gu, Q., Xiong, C.M., Li, J.J. and He, J.G. (2012) Impact of Sildenafil on Survival of Patients with Idiopathic Pulmonary Arterial Hypertension. Journal of Clinical Pharmacology, 52, 1357-1364.
[15] Daniels, S.R., Arnett, D.K., Eckel, R.H., Gidding, S.S., Hayman, L.L., Kumanyika, S., et al. (2005) Overweight in Children and Adolescents Pathophysiology, Consequences, Prevention, and Treatment. Circulation, 111, 1999-2012.
http://dx.doi.org/10.1161/01.CIR.0000161369.71722.10

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