Abstract
A constricting double aortic arch in infancy, although somewhat rare, occurs frequently enough to warrant the reporting of an additional case. Wolman 1 in 1939 found only 6 such cases in the literature, and to these he added 1 of his own. Schall and Johnson 2 reported 1 essentially similar in 1940, and Arana and Aguirre 3 reported a ninth case in the same year. Wolman 1 outlined an associated symptom complex which is remarkably constant, not only in those cases reviewed by him, but in subsequent cases as well. This consists of stridulous breathing, chronic cough, respiratory distress while feeding, failure to thrive, susceptibility to bronchopneumonia, head retraction, and malnutrition. The symptoms and course in the following case adhere closely to this pattern. REPORT OF CASE A white girl aged 2½ months was admitted to the service of Dr. Louis H. Clerf at Jefferson Hospital on Jan. 16, 1942, with a history of
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