Double aortic arch associated with pulmonary atresia with ventricular septal defect

Santos, Fernando Cesar Gimenes Barbosa; Croti, Ulisses Alexandre; Marchi, Carlos Henrique; Sobrinho, Sírio Hassem

doi:10.5935/1678-9741.20160008

Cited by 5 publications

(4 citation statements)

References 8 publications

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“…Anatomically, the Double Aortic Arch has the following three sub-types 8 Cases with mild obstruction present around 2 years of age, while cases of severe compression come to notice at the 1 st day of birth. Symptoms depend upon the degree of tracheal and/or esophageal compression which may result in stridor, wheezing, dyspnea at rest, cough, poor feeding, choking after milk ingestion and vomiting.…”

Section: Discussionmentioning

confidence: 99%

Double Aortic Arch - A Case Report

Nafees

Younus

Nasir

et al. 2021

PAFMJ

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Double Aortic Arch is a rare congenital cardiovascular anomaly. Its first successful surgery was performed by Robert Gross in 1945 at Children Hospital Boston, USA. It accounts for 0.4 to 1% of all congenital cardiac defects. Patients having a Double Aortic Arch mostly present with symptoms in the 1st week of life but depending upon the severity of symptoms can present at any age in childhood. We present a case report of two month old baby with noisy breathing, intermittent cough, gross jugular notch retraction and sub costal recession. His Cardiac CT was subsequently done which showed a Double Aortic Arch of left dominant variety encircling the trachea. Surgery was done and the encircling artery compressing the trachea was recognized, dissected and interrupted. Marked relief of tracheal and/or esophageal compression was evident from operation day. Post operative recovery was speedy. Patient’s follow up of was done at 1, 4 and 24 weeks. His recovery was unremarkable. Currently he was thriving well.

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Section: Discussionmentioning

confidence: 99%

Double Aortic Arch - A Case Report

Nafees

Younus

Nasir

et al. 2021

PAFMJ

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“…Compared with PCI, there was a higher risk of periprocedural stroke in patients undergoing CABG [43]. Moreover, post-operative problems or complications, such excessive sedation, ventilation, the use of intra-aortic balloon pump to help the heart, administration of inotropes, wound infection, hemorrhage, and pneumonia in patients with DM, were also elevated than those in non-diabetic patients [44, 45] and needed to be monitored and reasonably prevented.…”

Section: Discussionmentioning

confidence: 99%

Clinical outcome comparison of percutaneous coronary intervention and bypass surgery in diabetic patients with coronary artery disease: a meta-analysis of randomized controlled trials and observational studies

Zhai

Cong

Hou

et al. 2019

Diabetol Metab Syndr

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BackgroundThe optimal revascularization technique in diabetic patients with complex coronary artery disease (CAD), including left main CAD and multivessel coronary disease (MVD), remains controversial. The current study aimed to compare adverse clinical endpoints of coronary artery bypass graft (CABG) and percutaneous coronary intervention (PCI) in patients with diabetes mellitus (DM).MethodsRelevant studies were found from MEDLINE, OVID, Science Direct, Embase and the Cochrane Central database from January 2010 to April 2019. Risk ratio (RR) with 95% confidence interval (CI) was used to express the pooled effect on discontinuous variables. Outcomes evaluated were all-cause mortality, major adverse cardiac/cerebrovascular events (MACCE), cardiac death, myocardial infarction, stroke, and repeat revascularization.ResultsSixteen studies were included (18,224 patients). PCI was associated with the increase risk for MACCE (RR 1.59, 95% CI 1.38–1.85), cardiac death (RR 1.76, 95% CI 1.11–2.80), MI (RR 1.98, 95% CI 1.53–2.57), repeat revascularization (RR 2.61, 95% CI 2.08–3.29). The risks for all-cause mortality (RR 1.23, 95% CI 1.00–1.52) and stroke (RR 0.71, 95% CI 0.48–1.03) were similar between two strategies. Stratified analysis based on studies design and duration of follow-up showed largely similar findings with the overall analyses, except for a significant increased risk of all-cause mortality (RR 1.32, 95% CI 1.04–1.67) in long-term group, and CABG was associated with a higher stroke rate compared to PCI, which are results that were found in RCTs (RR 0.47, 95% CI 0.28–0.79) and mid-term groups (RR 0.39, 95% CI 0.23–0.66).ConclusionsCABG was superior to PCI for diabetic patients with complex CAD (including left main CAD and/or MVD), but might be associated with a higher risk of stroke mid-term follow-up.Number of Protocol registration PROSPERO CRD 42019138505.

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“…In this type of vascular ring, the ascending aorta bifurcates and forms a right and left sided arch [2]. As the most common congenital anomaly of the aortic arch system, the connected segments and their branches course between and compress the trachea and esophagus [3–7]. Symptoms are frequently present during childhood.…”

Section: Introductionmentioning

confidence: 99%

Recurrent Wheezing and Cough Caused by Double Aortic Arch, Not Asthma

Zhang

Dai

et al. 2017

Case Reports in Cardiology

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Introduction Double aortic arch is a congenital vascular abnormality in which the connected segments and their branches course between and compress the trachea and esophagus, often resulting in invariable airway compression. Case Presentation A 4-year-old boy with a history of recurrent wheezing was admitted to our hospital for evaluation of asthma based on his past medical history, persistent cough, wheezing, and airway hyperresponsiveness by lung function test. Double aortic arch was diagnosed with computed tomography angiogram. After surgery, the respiratory infection improved strikingly. Early diagnosis and treatment may prevent chronic, irreversible complications. Conclusion We present a case of double aortic arch masquerading as asthma.

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Double aortic arch associated with pulmonary atresia with ventricular septal defect

Cited by 5 publications

References 8 publications

Double Aortic Arch - A Case Report

Double Aortic Arch - A Case Report

Clinical outcome comparison of percutaneous coronary intervention and bypass surgery in diabetic patients with coronary artery disease: a meta-analysis of randomized controlled trials and observational studies

Recurrent Wheezing and Cough Caused by Double Aortic Arch, Not Asthma

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