Double Aortic Arch with Mirror-image Dextrocardia

Year 2013, Volume: 10 Issue: 12, 72 - 76, 21.03.2016

Hakan Altın Hayrullah Alp Fatih Şap Zehra Karataş Tamer Baysal Sevim Karaaslan

Abstract

Double aortic arch (DAA) is a very rare congenital vascular anomaly, characterized by the encircling trachea and esophagus, resulting feeding and/or respiratory problems. In this article, a two-month-old girl with situs inversus totalis and DAA was presented. The baby was symptomatic with noisy breathing and coughing since birth. Double aortic arch was detected by echocardiography, barium esophagography, cardiac MRI and conventional angiography. The present report emphasis that vascular ring should have been evaluated in a patient with respiratory and/or feeding problems. Chest radiography, barium esophagography, echocardiography, multislice computed tomography, magnetic resonance imaging angiography and conventional cardiovascular angiography can be used for the diagnosis of DAA.

Keywords

Double aortic arch, dextrocardia, vascular ring

Double Aortic Arch with Mirror-image Dextrocardia

Abstract

Çift arkus aorta (ÇAA) nadir bir konjenital vasküler anomali olup, beslenme ve/veya solunum problemleri ile sonuçlanan, trakea ve özefagusun çevrelenmesi ile karakterizedir. Bu makalede, situs inversus totalis ile birlikte ÇAA bulunan 2 aylık bir kız hasta sunulmuştur. Bebeğin doğumdan beri sesli soluk alma ve öksürük semptomları bulunmaktaydı. Çift arkus aorta, ekokardiagrafi, baryumlu özofagografi, kardiak MR ve konvensiyonel anjiografi ile saptandı. Bu makalede, solunum ve/veya beslenme problemleri olan bir hastada vasküler halkanın mutlaka araştırılması gerektiği vurgulanmıştır. Göğüs grafisi, baryum özofagografi, ekokardiografi, multislice bilgisayarlı tomografi, magnetic rezonans görüntüleme anjiografi ve konvansiyonel kardiyovasküler anjiografi ÇAA tanısında kullanılabilir

Keywords

Çift arkus aorta, dekstrokardi, vasküler halka

References

• Park MK. Vascular Ring. Pediatric Cardiology for Practitioners. 5.th Edition. Elsevier, Pheledelphia, 2008 pp 303-307
• Olearchyk AS. Right-sided double aortic arch in an adult. J Card Surg 2004;19(3):248-51.
• Becit N, Erkut B, Karaca Y. Vascular ring: Tracheoesophageal Compression Associated with Symmetrical Double Aortic Arch. Texas Heart Inst J 2008;35(2):209-10.
• Özcan HN, Özcan F, Adıgüzel D, Ardıç S. Demonstraction of double aortic arch with multislice computed tomography. Anadolu Kardiyol Derg 2009;9:E:1-4
• Türkvatan A, Büyükbayraktar FG, Ölçer T. Congenital Anomalies of the Aortic Arch: Evaluation with the Use of Multidetector Computed Tomography. Korean J Radiol 2009;10:176-84
• Atay Y, İyem H, Yağdı T, Alp Alayunt E. Çift arkus aorta: Tanı yöntemleri ve cerrahi yaklaşım. Turkish J Thorac Cardiovasc Surg 2001;9:250-2
• Evans WN, Acherman RJ, Collazos JC et al. Dextrocardia: Practical Clinical Points and Comments on Terminology. Pediatr Cardiol 2010;31:1–6
• Stewart JR, Kincaid OW, Edwards JE. An Atlas of Vascular Rings and Related Malformation of the Angiographic Features. Charles C Thomas, Springfield, Illinois, 1964;pp 1-171
• Congdon ED. Transformation of the aortic arch system during the development of the human embryo. Contrib Embryol 1922;14:47-110
• Alsenaidi K, Gurofsky R, Karamlou T, Williams WG, McCrindle BW. Management and Outcomes of Double Aortic Arch in 81 Patients. Pediatrics 2006;118:1336-41
• Hernanz-Schulman M. Minisymposium: Vascular rings: a practical approach to imaging diagnosis. Pediatr Radiol 2005; 35:961-79
• McLaren CA, Elliot MJ, Roebuck DJ. Minisymposium: Imagıng and interventional radiology. Vascular compres- sion of the airway in children. Paediatr Respir Rev 2008; 9:85-94
• Moes CAF. Vascular rings and anomalies of the aortic arch. In: Keith JD, Rowe DR, Vlad P (eds) Heart Disease in Infancy and Childhood. Macmillan, New York 1978 pp 856-881
• Bertolini A, Pelizza A, Panizzon G, et al. Vascular rings and slings. Diagnosis and surgical treatment of 49 pa- tients. J Cardiovasc Surg (Torino)1987; 28:301-12
• Roesler M, De LM, Chrispin A, Stark J. Surgical manage- ment of vascular ring. Ann Surg 1983;197:139-46
• Ruzmetov M, Vijay P, Rodefeld MD, Turrentine MW, Brown JW. Follow-up of surgical correction of aortic arch anomalies causing tracheoesophageal compression: a 38-year single institution experience. J Pediatr Surg 2009;44:1328-32
• Cui W, Patel D, Husayni TS, Roberson DA. Double Aortic Arch and D-Transposition of the Great Arteries. Echocardiography 2008;25(1):91-5
• Ülger Z, Levent E, Özyürek AR. Clinical and radiologi- cal evaluation of five patients with double aortic arch. Pediatric Health Diseases 2004;47:197-200.