Balanced Double Aortic Arch Causing Persistent Respiratory Symptoms Mimicking Asthma in an Infant

Abstract

Double aortic arch (DAA) is a common form of complete vascular ring. The condition leads to airway obstruction and compression of the esophagus. A balanced type of DAA is an extremely rare anomaly. The anatomical aberration cannot be easily distinguished by transthoracic echocardiography when an infant has chronic respiratory distress. Herein we presented a case of an 11-month-old infant who had chronic respiratory distress and a balanced type of DAA.

Keywords

balanced double aortic arch - reactive airway disease - childhood - echocardiography - pediatric intensive care unit

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors. Institutional Review Board approval was not required for this case report.

Authors' Contributions

All authors participated in creating content for the manuscript and editing, and provided final approval for submission. No undisclosed authors contributed to the manuscript.

Publication History

Received: 21 March 2020

Accepted: 30 April 2020

Article published online:
04 June 2020

• References

• 1 Backer CL, Mongé MC, Popescu AR, Eltayeb OM, Rastatter JC, Rigsby CK. Vascular rings. Semin Pediatr Surg 2016; 25 (03) 165-175
• 2 Park SC, Zuberbuhler JR. Vascular ring and pulmonary sling. In: Anderson RH, Baker EJ, Macartney RF, Rigby ML, Shinerbourne EA, Tynan M. eds. Paediatric Cardiology 2nd Ed. London: Harcourt Publishers; 2002: 1559-1575
• 3 Javad H, Al-Sineidi K, Abdelmogheth AA. et al. Vascular anomalies in children misdiagnosed with asthma: case series. Sultan Qaboos Univ Med J 2015; 15 (01) e136-e139
• 4 Etesami M, Ashwath R, Kanne J, Gilkeson RC, Rajiah P. Computed tomography in the evaluation of vascular rings and slings. Insights Imaging 2014; 5 (04) 507-521
• 5 Piloni D, Tirelli C, Domenica RD. et al. Asthma-like symptoms: is it always a pulmonary issue?. Multidiscip Respir Med 2018; 3: 13-21