Abstract
This is a case report of a double aortic arch forming a complete vascular ring, presenting with extrinsic tracheoesophageal obstruction. A female patient spent a large part of her life being treated for bronchial asthma. Her complaint started early in childhood marked by repeated attacks of wheezy chest and difficulty in breathing up to stridor sometimes. The wheezes were marked and often associated with stridor. Multislice computed tomography of the chest with angiogram was performed for diagnosis. Vascular rings, due to the double aortic arch, are an important cause of tracheoesophageal compression. Its presentation may mimic asthma attacks and thus the clinical suspicion and diagnosis of vascular rings can lead to early surgical intervention.
Highlights
This is a case report of a double aortic arch forming a complete vascular ring, presenting with extrinsic tracheoesophageal obstruction.History A female patient spent a large part of her life being treated for bronchial asthma
A 53-year-old housewife, having four offspring and with no special habits, spent a large part of her life being treated for bronchial asthma
Her complaint started early in childhood marked by repeated attacks of wheezy chest and difficulty in breathing up to stridor sometimes
Summary
Double aortic arch (DAA) is the most common of the complete vascular ring anomalies, causing tracheoesophageal compression (Fig. 1). A 53-year-old housewife, having four offspring and with no special habits, spent a large part of her life being treated for bronchial asthma Her complaint started early in childhood marked by repeated attacks of wheezy chest and difficulty in breathing up to stridor sometimes. The patient developed massive hemoptysis with severe attack of stridor and wheezy chest She was admitted to the ICU for evaluation and management. The right (posterior) arch gives the right subclavian artery and the right common carotid, whereas the left (anterior) arch gives the left subclavian artery and left common carotid She suffered from difficulties in swallowing, starting with liquids followed by solid food, with choking or regurgitating and increased respiratory obstruction during feeding.
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