Double Aortic Arch with Coarctation of Aorta in an Adolescent: Unraveling the Vascular Ring

Bijoy G. Rajbanshi; Anil Acharya; Prabesh Neupane; Milan Gautam; Apurb Sharma; Bhuwan Kayastha; Ram K. Ghimire; Ranjit Sharma; Lava N. Joshi

doi:10.1055/s-0040-1721746

AORTA, Table of Contents

CC BY 4.0 · Aorta (Stamford) 2020; 08(06): 169-171
DOI: 10.1055/s-0040-1721746

Case Report

Double Aortic Arch with Coarctation of Aorta in an Adolescent: Unraveling the Vascular Ring

Authors

Bijoy G. Rajbanshi

¹Department of Cardiothoracic and Vascular Surgery, Nepal Mediciti, Lalitpur, Nepal
Anil Acharya

¹Department of Cardiothoracic and Vascular Surgery, Nepal Mediciti, Lalitpur, Nepal
Prabesh Neupane

²Department of Cardiology, Nepal Mediciti, Lalitpur, Nepal
Milan Gautam

²Department of Cardiology, Nepal Mediciti, Lalitpur, Nepal
Apurb Sharma

³Department of Anesthesiology, Nepal Mediciti, Lalitpur, Nepal
Bhuwan Kayastha

⁴Department of Radiology, Nepal Mediciti, Lalitpur, Nepal
Ram K. Ghimire

⁴Department of Radiology, Nepal Mediciti, Lalitpur, Nepal
Ranjit Sharma

²Department of Cardiology, Nepal Mediciti, Lalitpur, Nepal
Lava N. Joshi

²Department of Cardiology, Nepal Mediciti, Lalitpur, Nepal

Abstract

We report the case of a 12-year-old girl with balanced double aortic arch with coarctation of the aorta presenting with symptoms of respiratory and swallowing difficulty. On investigation, the patient had a double aortic arch with coarctation and clinically nonsignificant disease in the infrarenal aorta. Division of the nondominant aortic arch was done through a left thoracotomy, along with resection of the coarctation segment and placement of an interposition Dacron tube graft.

Keywords

double aortic arch - coarctation - aorta

Full Text

References

References
1 Perloff JK. The variant associations of aortic isthmic coarctation. Am J Cardiol 2010; 106 (07) 1038-1041
2 Backer CL, Mavroudis C, Rigsby CK, Holinger LD. Trends in vascular ring surgery. J Thorac Cardiovasc Surg 2005; 129 (06) 1339-1347
3 Wagner JB, Knowlton JQ, Pastuszko P, Shah SS. Shah SS. A rare case of vascular ring and coarctation of the aorta in association with CHARGE syndrome. Tex Heart Inst J 2017; 44 (02) 138-140
4 Wong CH, Wright JG, Silove ED, Willetts R, Brawn WJ. A new syndrome of multiple hemangiomas, right dominant double aortic arch, and coarctation. J Thorac Cardiovasc Surg 2001; 121 (06) 1207-1209
5 Alsenaidi K, Gurofsky R, Karamlou T, Williams WG, McCrindle BW. Management and outcomes of double aortic arch in 81 patients. Pediatrics 2006; 118 (05) e1336-e1341
6 Jenkins NP, Ward C. Coarctation of the aorta: natural history and outcome after surgical treatment. QJM 1999; 92 (07) 365-371
7 Rajbanshi BG, Joshi D, Pradhan S. et al. Primary surgical repair of coarctation of the aorta in adolescents and adults: intermediate results and consequences of hypertension. Eur J Cardiothorac Surg 2019; 55 (02) 323-330
8 van Son JA, Julsrud PR, Hagler DJ. et al. Surgical treatment of vascular rings: the Mayo Clinic experience. Mayo Clin Proc 1993; 68 (11) 1056-1063