Early diagnosis and surgical treatment of congenital double aortic arch

Abstract

Objective Double aortic arch is one kind of vascular ring anomaly in congenital heart diseases,and the ordinary type.Most patients had severe compressing symptoms of trachea and esophagus.So early surgical intervene is very important.Methods 8 patients of double aortic arch in our hospital,male 5,female 3,received surgical treatment.Aged from 1 month to 48 months,mean(14.93±15.52)months,weight from 5.5 kg to 15 kg,mean(9.56±3.51)kg.Among the patients,one was double arch symmetrical type and the other were right arch predominant.6 of them were pure double aortic arch who accepted operation through posterolateral incision on left chest.One of them combined with ventricle septal defect,another of them had pulmonary artery sling simultaneously.They both accepted operation under CPB through median insicion.Results 7 of them had good results after long term treatment of post-operation.One patient with severe stenosis of trachea was abandoned by his parents,because of depending respirator.Conclusion Double aortic arch is an important cause of persistent respiratory symptoms in infants and children,early investigation and surgical treatment means excellent outcomes. Key words: Heart defects; congenital Aorta; thoracic Cardiac surgical procedures Vascular ring