A case of double aortic arch with coarctation of both limbs is described. The patient, a thirteen-year-old girl, demonstrated only the symptoms of coarctation and had no intracardiac anomalies. Discrete coarctation of bilateral limbs distal to the subclavian artery was shown by aortography. Although either double aortic arch or coarctation of the aorta is not so rare, the combination of these two anomalies is quite unusual. This is the third case in the world literature.
Get full access to this article
View all access options for this article.
References
1.
Mahoney EB, Manning JA: Congenital abnormalities of the aortic arch. Surgery55:1-14, 1964.
2.
Shuford WH, Sybers RG, Weens HS: The angiographic features of double aortic arch. AJR116:125-140, 1972.
3.
Higashino SM , Ruttenburg HD: Double aortic associated with complete transposition of great vessels. Br Heart J30:579-581, 1968.
4.
Wielenga G., Dankmeijer J.: Coarctation of the aorta. J Pathol Bacteriol95:265-274, 1968.
5.
Becker AE, Becker MJ, Edwards JE: Anomalies associated with coarctation of the aorta. Circulation41:1067-1075, 1970.
6.
Merin G., Borman JB, Aviad I., et al: Double aortic arch associated with coarctation, ventricular septal defect and right ventricular outflow tract obstruction. Successful surgical repair. Am J Cardiol29:564-567, 1972.
7.
Raju S., Ratliff J., Timmis H., et al: Internal coarctation associated with double aortic arch. J Thorac Cardiovasc Surg66:192-195, 1973.
8.
Garti IJ, Aygen MM, Levy MJ: Double aortic arch anomalies: Diagnosis by countercurrent right brachial arteriography . AJR133:251-256, 1979.
9.
Ettedgui JA, Lorber A., Anderson D.: Double aortic arch associated with coarctation. Int J Cardiol12:258-260, 1986.
10.
Dry TJ, Clagett T., Saxon RF, et al: Double aortic arch associated with coarctation of the aorta: Surgically treated patient. Dis Chest23:36-42, 1953.
11.
Springer SJ , Fellows KE, Jonas RA: Double aortic arch with bilateral coarctations . Am J Cardiol61:196-197, 1988.
12.
Rudolph AM, Heymann MA, Spitznzs U.: Hemodynamic considerations in the development of narrowing of the aorta. Am J Cardiol30:514-525, 1972.
13.
Moulaert AJ , Bruins CC, Oppenheimer-Dekker A.: Anomalies of the aortic arch and ventricular septal defects. Circulation53:1011-1015, 1976.