Abstract
A 60-year-old man treated for chronic bronchial asthma for more than 5 decades, presented in a debilitated condition. Chest radiography showed mediastinal widening, electrocardiography revealed left anterior hemiblock, magnetic resonance imaging and angiocardiography confirmed double aortic arch. He underwent excision of the anterior arch and release of the trachea and esophagus. Double aortic arch should be considered in the differential diagnosis of chronic asthma when a patient fails to respond to medical treatment.
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References
1.
Gross
RE
. Surgical relief for tracheal obstruction from a vascular ring . N Engl J Med
1945 ; 233 : 586 –590 .
2.
Grathwohl
KW
Afifi
AY
Dillard
TA
Olson
JP
Heric
BR
. Vascular rings of the thoracic aorta in adults . Am Surg
1999 ; 65 : 1077 –1083 .
3.
Adkins
RB
Jr
Maples
MD
Graham
BS
Witt
TT
Davies
J
. Dysphagia associated with an aortic arch anomaly in adults . Am Surg
1986 ; 52 : 238 –245 .
4.
Stoica
SC
Lockowandt
U
Coulden
R
Ward
R
Bilton
D
Dunning
J
. Double aortic arch masquerading as asthma for thirty years . Respiration
2002 ; 69 : 92 –95 .
5.
Backer
CL
Ilbawi
MN
Idriss
FS
DeLeon
SY
. Vascular anomalies causing tracheoesophageal compression. Review of experience in children . J Thorac Cardiovasc Surg
1989 ; 97 : 725 –731 .