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Double Aortic Arches Revisited

Neil Tanna, MD, MBA; Arjun S. Joshi, MD; Douglas Sidell, BS; Rahul K. Shah, MD; Diego A. Preciado, MD, PhD

Arch Otolaryngol Head Neck Surg. 2008;134(4):434-436.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

The double aortic arch (DAA) is the most common vascular ring disorder recognized clinically.^1-2 Most cases are diagnosed in the neonatal population, with respiratory and gastroesophageal symptoms predominating. Several modalities have been used to identify this vascular anomaly, and diagnostic methods vary among institutions.^1-4 Direct endoscopic evaluation is a diagnostic tool available to clinicians, but imaging also has been shown to be an effective method for recognizing the DAA.⁴

A small fraction of patients born with this embryologic anomaly evade diagnosis into adolescence or adulthood. Similar to patients whose conditions are diagnosed during childhood, older patients who are symptomatic also require surgical correction of the aberrant vasculature. We recently encountered a patient with a DAA diagnosed at age 15 years after multiple years of treatment for pulmonary and gastroesophageal symptoms. . . . [Full Text of this Article]

REPORT OF A CASE

COMMENT

AUTHOR INFORMATION

Author Affiliations: Division of Otolaryngology–Head and Neck Surgery, The George Washington University (Drs Tanna, Joshi, Shah, and Preciado and Mr Sidell), and Department of Otolaryngology, Children's National Medical Center (Drs Shah and Preciado), Washington, DC.