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A six-month-old boy who had recurrent respiratory difficulties was admitted to the hospital with acute respiratory failure that required mechanical ventilation. Echocardiography suggested the presence of a double aortic arch. Magnetic resonance imaging confirmed the diagnosis of a double aortic arch (Panel A; Ao denotes aorta, E esophagus, and Tr trachea). The trachea and esophagus were seen to run through the vascular ring of the two aortic arches (Panel B). High-grade stenosis of the trachea was identified. Surgical correction was performed, and the left arch was determined to be slightly hypoplastic. This arch was ligated distal to the left subclavian . . . [Full Text of this Article] |
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