Case Report

Double Aortic Arch Anomaly Mimicking Asthma and Laryngomalacia: Two Case Reports

Abstract

This report describes two patients (a 7-year-old boy and a 3-month-old boy) who have had chronic and recurrent respiratory distress and wheezing episodes since infancy. The elder one had been treated for hyper-reactive airway disease and asthma, and the other had been diagnosed with laryngomalacia. The problems had been associated with cyanosis and did not improve with routine treatment; therefore, we considered other underlying diseases, such as cardiovascular problems. The diagnostic workups revealed the “double aortic arch” which had not been diagnosed previously.

Weinberg Paul M, Shobha N, Rogers Lindsay S. Aortic arch and vascular anomalies. In: Allen HD, Editor. Moss and Adams' heart disease in infants, children, and adolescents: Including the fetus and young adult. 8th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2013. p. 758-98.

Savoy ML, Crawford-Faucher AD. A 3-month-old girl with a persistent cough and respiratory distress [Online]. [cited 2005];

Available from: URL: https://pdfs.semanticscholar.org/5430/cf48f17a 2cefd5da590e47c0840734d8a28c.pdf

Bernstein D. Other congenital heart and vascular malformations. In: Kliegman RM, Stanton BM, Geme J, Schor NF, Editors. Nelson textbook of pediatrics E-Book. 20th ed. Philadelphia, PA: Elsevier Health Sciences; 2016. p. 2235-8.

Juraszek AL, Guleserian KJ. Common aortic arch anomalies: Diagnosis and management. Curr Treat Options Cardiovasc Med 2006; 8(5): 414-8.

Uchida DA. Late presentation of double aortic arch in school-age children presumed to have asthma: The benefits of spirometry and

examination of the flow-volume curve. Respir Care 2009; 54(10): 1402-4.

Etesami M, Ashwath R, Kanne J, Gilkeson RC, Rajiah P. Computed tomography in the evaluation of vascular rings and slings. Insights Imaging 2014; 5(4): 507-21.

Frederic Moes CA, Freedom RM. Rare types of aortic arch anomalies. Pediatr Cardiol 1993; 14(2): 93-101.

Bakker DA, Berger RM, Witsenburg M, Bogers AJ. Vascular rings: A rare cause of common respiratory symptoms. Acta Paediatr 1999; 88(9): 947-52.

Files
IssueVol 2 No 1 (2017): Winter QRcode
SectionCase Report(s)
Keywords
Aortic arch Asthma Laryngomalacia Respiratory distress
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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Tajdini M, Shariat M, Mizaaghayan M, Memarian S, Rahmani P, Majnoon M. Double Aortic Arch Anomaly Mimicking Asthma and Laryngomalacia: Two Case Reports. CRCP. 2017;2(1):16-20.