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J Pediatr Intensive Care 2021; 10(02): 162-166
DOI: 10.1055/s-0040-1712959
Case Report

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

Hafize Otcu Temur 
1   Department of Radiology, Bezmialem Vakif University, Istanbul, Turkey
,
Can Yilmaz Yozgat 
2   Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey
,
Selcuk Uzuner 
3   Department of Pediatric Critical Care Medicine, Bezmialem Vakif University, Istanbul, Turkey
,
Murat Ugurlucan 
4   Department of Cardiovascular Surgery, Istanbul Medipol University, Istanbul, Turkey
,
Hakan Yazan 
5   Department of Pediatric Pulmonology, Bezmialem Vakif University, Istanbul, Turkey
,
Erkan Cakir 
5   Department of Pediatric Pulmonology, Bezmialem Vakif University, Istanbul, Turkey
,
Yilmaz Yozgat 
6   Department of Pediatric Cardiology, Bezmialem Vakif University, Istanbul, Turkey
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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

© 2020. Thieme. All rights reserved.

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