Key result
Surgical division of double aortic arch resolves symptoms and improves growth in an infant.
Why the study?
Vascular ring with double aortic arch is a rare congenital anomaly that encircles the esophagus and trachea, causing compressive symptoms.
Case Report (n=1)
No
This case report highlights that CT angiography can accurately diagnose a double aortic arch causing esophageal compression when echocardiography and contrast swallow are normal, and that surgical division resolves recurrent aspiration and failure to thrive.
Answers are grounded in this paper and cite their sources.
Prompts consideration of vascular rings in stridor with malnutrition; leaves open standardized diagnostic pathways for rare anomalies.
Background: Vascular ring with double aortic arch is a rare congenital anomaly, which encircles the esophagus and trachea, causing compressive symptoms. Clinical Description: A 13-month-old boy presented with a history of recurrent episodes of choking and respiratory distress requiring multiple hospitalizations over the past 1 year. Examination revealed mild pallor, moderate malnutrition, and respiratory distress with stridor. Management and Outcome: Investigations revealed low hemoglobin, raised total leukocyte count, and right-sided consolidation in chest X-ray. Echocardiography, contrast swallow, and noncontrast computed tomography (CT) of the chest were normal in the case CECT is mentioned or specify if CECT chest was performed with angiography protocols. CT angiography revealed a right-sided aortic arch with a complete vascular loop indenting on the esophagus. Surgical division of the nondominant arch, ligamentum arteriosum, and Kommerell’s diverticulum was performed. The follow-up was uneventful with the resolution of symptoms and improved growth. Conclusion: Vascular ring compression should be considered in infants with recurrent aspirations and failure to thrive. Comprehensive evaluation including CT angiography can provide an accurate diagnosis. Surgical intervention may be undertaken in case of persistent symptoms.
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Kotian et al. (2026) conducted a case report in Complete vascular ring due to double aortic arch causing esophageal compression (n=1). Surgical division of the nondominant arch, ligamentum arteriosum, and Kommerell’s diverticulum was evaluated on Resolution of symptoms and improved growth. Surgical division of the nondominant arch, ligamentum arteriosum, and Kommerell's diverticulum resolved symptoms and improved growth in a 13-month-old boy (n=1) with a double aortic arch.
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