A Rare Cause of Respiratory Distress in Infants: Double Aortic Arch

Bacak Tolga,Gulec Seda Geylani,Ozmen Evrim,Ozdogan Sebnem

doi:10.23937/2378-3516/1410122

Abstract

Vascular ring, which is a rare cause of respiratory distress in infants, results in respiratory and gastrointestinal findings due to tracheal and/or esophageal compression, but the diagnosis may be delayed because of the nonspecific symptoms. Double aortic arch is the most common vascular ring anomaly. A case of double aortic arch presented with respiratory distress, stridor, and feeding intolerance during infancy is discussed.

Highlights

Vascular ring is seen with an incidence of 1% in all congenital cardiovascular anomalies
Since aortic arch anomalies are very rare, they are reported as case reports in general and epidemiological
The ventral and dorsal aortas were connected by six primitive aortic arches

Summary

Introduction

Vascular ring is seen with an incidence of 1% in all congenital cardiovascular anomalies. Double aortic arch is the most common anomaly among vascular ring pathologies (40%) [1]. Abnormal regression of the brachial arch during embryogenesis results in persistence of two aortic arches, forming a vascular ring and compressing the trachea and/or esophagus. Since respiratory distress was persistent and his complaints worsened with feeding, antibiotic and anti-reflux therapy were added to the treatment with the pre-diagnosis of aspiration pneumonia.

Results

Conclusion