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Double aortic arch presenting with a foreign object in the oesophagus: a case report and imaging diagnosis

Published online by Cambridge University Press:  25 May 2017

Xiuzhen Yang ,
Jingjing Ye  and
Zhan Gao
Xiuzhen Yang
Affiliation:
Department of Echocardiography, Children’s Hospital, School of Medicine, Zhejiang University, Hangzhou, China
Jingjing Ye*
Affiliation:
Department of Echocardiography, Children’s Hospital, School of Medicine, Zhejiang University, Hangzhou, China
Zhan Gao
Affiliation:
Centre of Cardiothoracic Surgery, Children’s Hospital, School of Medicine, Zhejiang University, Hangzhou, China
*
Correspondence to: J Ye, Department of Echocardiography, Children’s Hospital, School of Medicine, Zhejiang University, 3333 Binsheng Road, Hangzhou, China. Tel: +86 138 6817 4280; Fax: 310051; E-mail: yejj1180@163.com
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Abstract

In this article, we report a rare case of double aortic arch. The case presented initially with a foreign object in the oesophagus. The patient was a 2-year-old boy, who was referred with primary symptoms of tussis (15 days) and emesis (2 days). He had a history of ingesting a coin. Routine chest X-ray indicated a rounded, metal foreign object in the upper oesophagus. A half-Yuan coin was removed by gastroduodenoscopy. Echocardiographic imaging suggested that the patient had double aortic arch, which was subsequently diagnosed by CT angiography with three-dimensional reconstruction. The right subclavian artery arose from the right loop of the double aortic arch. The left subclavian artery as well as left and right common carotid arteries had distinct origins from the left aortic arch. Imaging also indicated atresia of the distal left arch. The patient underwent corrective surgery and made a full recovery. Despite the rarity, double aortic arch should be considered when patients present with a foreign object in the oesophagus. Echocardiography and CT angiography can inform the diagnosis.

Keywords

Double aortic archechocardiographyCT angiographyforeign objectvascular ring
Type
Brief Report
Information
Cardiology in the Young , Volume 27 , Issue 8 , October 2017 , pp. 1651 - 1653
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Copyright
© Cambridge University Press 2017 

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