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A Case of Balanced Type Double Aortic Arch Diagnosed Incidentally by Transthoracic Echocardiography in an Asymptomatic Adult Patient

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A 36-year-old male patient with no remarkable medical history was admitted to our hospital for a health check up. On chest radiography, bilateral aortic notches at the level of aortic arch were shown suggesting aortic arch anomaly without any clinical symptoms. Two aortic arches were almost same-in-size on suprasternal view of transthoracic echocardiography. In addition,multidetector computed tomography showed balanced type double aortic arch forming a complete vascular ring which encircled the trachea and esophagus. The trachea was slightly compressed by the vascular ring whereas the esophagus was intact. Nevertheless, the pulmonary function test was normal. The patient was discharged from hospital with instructions for periodic follow-up.

Abstract

A 36-year-old male patient with no remarkable medical history was admitted to our hospital for a health check up. On chest radiography, bilateral aortic notches at the level of aortic arch were shown suggesting aortic arch anomaly without any clinical symptoms. Two aortic arches were almost same-in-size on suprasternal view of transthoracic echocardiography. In addition,multidetector computed tomography showed balanced type double aortic arch forming a complete vascular ring which encircled the trachea and esophagus. The trachea was slightly compressed by the vascular ring whereas the esophagus was intact. Nevertheless, the pulmonary function test was normal. The patient was discharged from hospital with instructions for periodic follow-up.

참고문헌 (21)

  1. Yilmaz M, "Asymptomatic balanced-type double aortic arch in an elderly patient: a case report", Heart Surg Forum, 10, pp.297~298 (2007)
  2. Ito H, "Double aortic arch with atresia, tapering and aneurysm of the left arch", Br J Radiol, 79, pp.71~74 (2006)
  3. Ikenouchi H, "Images in cardiovascular medicine. Silent double aortic arch found in an elderly man", Circulation, 114, pp.360~361 (2006)
  4. Sariaydin M, "Asymptomatic double aortic arch", Int Med Case Rep J, 3, pp.63~66 (2010)
  5. Stewart JR, "An atlas of vascular rings and related malformations of the aortic arch system", pp.579~580 (1963), Thomas
  6. Jeeyani HN, "Imaging features of double aortic arch shown by multidetector computed tomography angiography", Ann Pediatr Cardiol, 3, pp.169~170 (2010)
  7. Lowe GM, "Vascular rings: 10-year review of imaging", Radiographics, 11, pp.637~646 (1991)
  8. Schlesinger AE, "Incomplete double aortic arch with atresia of the distal left arch: distinctive imaging appearance", AJR Am J Roentgenol, 184, pp.1634~1639 (2005)
  9. Kellenberger CJ, "Aortic arch malformations", Pediatr Radiol, 40, pp.876~884 (2010)
  10. Jaffe RB, "Radiographic manifestations of congenital anomalies of the aortic arch", Radiol Clin North Am, 29, pp.319~334 (1991)
  11. Moes CA, "Rare types of aortic arch anomalies", Pediatr Cardiol, 14, pp.93~101 (1993)
  12. Baraldi R, "Vascular ring due to double aortic arch: a rare cause of dysphagia", Eur J Radiol Extra, 52, pp.21~24 (2004)
  13. Emmel M, "Double aortic arch in a patient with Fallot’s tetralogy", Cardiol Young, 15, pp.52~53 (2005)
  14. Kim HY, "Three cases of dysphagia due to vascular ring in adults", Korean J Gastrointest Endosc, 21, pp.735~740 (2000)
  15. Meng-Luen Lee, "Diagnosis of the Double Aortic Arch and Its Differentiation from the Conotruncal Malformations", Yonsei Medical Journal, 48(5), pp.818~826 (2007), 연세대학교의과대학
  16. Koz C, "Double aortic arch suspected upon transthoracic echocardiography and diagnosed upon computed tomography", Tex Heart Inst J, 35, pp.80~81 (2008)
  17. Lotz J, "Images in clinical medicine. Double aortic arch diagnosed by magnetic resonance imaging", N Engl J Med, 351, pp.20~ (2004)
  18. van Son JA, "Imaging strategies for vascular rings", Ann Thorac Surg, 57, pp.604~610 (1994)
  19. Lillehei CW, "Echocardiography in the preoperative evaluation of vascular rings", J Pediatr Surg, 27, pp.1118~1120 (1992)
  20. Kypson AP, "Double aortic arch in an adult undergoing coronary bypass surgery: a therapeutic dilemma", Eur J Cardiothorac Surg, 34, pp.920~921 (2008)
  21. Alsenaidi K, "Management and outcomes of double aortic arch in 81 patients", Pediatrics, 118, pp.1336~1341 (2006)

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