Pediatr. praxi. 2016;17(2):117-120 | DOI: 10.36290/ped.2016.027

Recurrent respiratory infections as a presenting symptom of a double aortic arch

prof.MUDr.Vladimír Mihál, CSc.1,2, MUDr.Eva Klásková, Ph.D.2, prof.MUDr.František Kopřiva, Ph.D.1,2, MUDr.Sabina Kaprálová2, MUDr.Kamila Michálková3
1 Ústav molekulární a translační medicíny LF UP Olomouc
2 Dětská klinika FN a LF UP v Olomouci
3 Radiologická klinika FN a LF UP v Olomouci

We report a 15-month-old boy suffering from double aortic arch (DAA) with a history of several severe airway infections with

permanent inspiratory stridor. Both barium esophagogram and flexible bronchoscopy revealed a vascular impression of the

trachea and the oesophagus. Final diagnosis was established by MRI of the aortic arch. All clinical symptoms and signs remitted

after successful cardiosurgery.

Keywords: double aortic arch, tracheoesophageal compression, inspiratory stridor, bronchoscopy, child

Published: May 9, 2016  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Mihál V, Klásková E, Kopřiva F, Kaprálová S, Michálková K. Recurrent respiratory infections as a presenting symptom of a double aortic arch. Pediatr. praxi. 2016;17(2):117-120. doi: 10.36290/ped.2016.027.
Download citation

References

  1. Licari A, Manca E, Rispoli GA, et al. Congenital vascular rings:a clinical challenge for the paediatrician. Pediatr Pulmonol 2015; 50: 511-524. Go to original source... Go to PubMed...
  2. Shah RK, Mora BN, Bacha E, et al. The presentation and management of vascular rings: an otolaryngology perspective. Int J Pediatr Otorhinolaryngol 2007; 71: 57-62. Go to original source... Go to PubMed...
  3. Sadler TW. Langmanova lékařská embryologie. Grada Publishing a. s., 2011, Praha. s. 208-213.
  4. Woods RK, Sharp RJ, Holcom GW, et al. Vascular anomalies and tracheoesophageal compression: a single institution's 25-year experience. Ann Thorac Surg 2001; 72: 434-439. Go to original source... Go to PubMed...
  5. Humphrey C, Duncan K, Fletcher S. Decade of experience with vascular rings at a single institution. Pediatrics 2006; 117(5): e903-e908. Go to original source... Go to PubMed...
  6. Berdon WE. Rings, slings and other things: vascular compression of the infant trachea. Updated from the midcentury to the millenium. The legacy of Robert E. Gross, MD, and Edward B.D. Neuhauser, MD. Radiology 2000; 216: 624-632. Go to original source... Go to PubMed...
  7. Juraszek AL, Fulton DR. Vascular rings. In: UpToDate, Post TW (Ed), UpToDate, Waltham, MA. Accessed on March 15, 2016.
  8. Chládková J. Současný pohled na průduškovou obstrukci a astma u dětí. Pediatr. Praxi 2011; 12(1): 8-11.
  9. Kussman BD, Geva T, McGovan FX. Cardiovascular causes of airway compression. Pediatric Anesthesia 2004; 14: 60-74. Go to original source... Go to PubMed...
  10. Brockmeier K, Demirakca S, Metzner R, Floemer F. Double Aortic Arch. Circulation 2000; 102: e93-e94. Go to original source... Go to PubMed...
  11. Yang HJ, Pyun BY. Refractory asthma coexisting with a double aortic arch:a case report and literature review. J Asthma2010; 47: 1165-1167. Go to original source... Go to PubMed...
  12. Fogel MA, Pawlowski TW, Harris MA, et al. Comparison and usefulness of cardiac magnetic resonance versus computed tomography in infants six months of age or younger with aortic arch anomalies without deep sedation or anesthesia. Am J Cardiol 2011; 108: 120-125. Go to original source... Go to PubMed...
  13. Hernanz-Schulman M. Vacsular rings: a practical approach to imaging diagnosis. Pediatr Radiol 2005; 35: 961-979. Go to original source... Go to PubMed...
  14. Furuya MEY, Vagras MH, Ramírez-Figueroa JL, et al. Endoscopy for the initial suspicion of vascular rings in tracheoesophageal compression:correlation with surgical findings. Pediatr Pulmonol 2010; 45: 560-565. Go to original source... Go to PubMed...
  15. Tuo G, Volpe P, Lauro G, et al. Prenatal diagnosis and outcome of isolated vascular ring. Am J Cardiol 2009; 103: 416-419. Go to original source... Go to PubMed...
  16. Bravo C, Gámez F, Pérez R, et al. Fetal aortic arch anomalies. J Ultrasound Med 2016; 35: 237-251. Go to original source... Go to PubMed...
  17. Kanne JP, Godwin JD. Right aortic arch and its variants. J Cardiovasc Comput Tomogr 2010; 4: 293-300. Go to original source... Go to PubMed...
  18. Backer CL, Mavroudis C, Rigsby CK, Holinger LD. Trends in vascular ring surgery. J Thorac Cardiovasc Surg 2005; 129: 1339-1347. Go to original source... Go to PubMed...




Pediatrics for Practice

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.