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J Pediatr Intensive Care 2020; 09(02): 141-144
DOI: 10.1055/s-0039-1700952
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Double Aortic Arch Mimics the Clinical Characteristics of Severe Reactive Airway Disease in a Pediatric Patient

Osman Yesilbas 
1   Department of Pediatric Critical Care Medicine, Bezmialem Vakif University, Istanbul, Turkey
,
Hazar Dogus Kus 
2   Department of Pediatrics, Bezmialem Vakif University, Istanbul, Turkey
,
Güntülü Şik 
3   Department of Pediatric Critical Care Medicine, Mehmet Ali Aydınlar University, Faculty of Medicine, Atakent Acıbadem Hospital, Istanbul, Turkey
,
Agop Citak 
3   Department of Pediatric Critical Care Medicine, Mehmet Ali Aydınlar University, Faculty of Medicine, Atakent Acıbadem Hospital, Istanbul, Turkey
,
Bahar Temur 
4   Department of Cardiovascular Surgery, Mehmet Ali Aydınlar University, Faculty of Medicine, Atakent Acıbadem Hospital, Istanbul, Turkey
,
Can Yilmaz Yozgat 
5   Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey
,
Hafize Otcu Temur 
6   Department of Radiology, Bezmialem Vakif University, Istanbul, Turkey
,
Erkan Cakir 
7   Department of Pediatric Pulmonology, Bezmialem Vakif University, Istanbul, Turkey
,
Yilmaz Yozgat 
8   Department of Pediatric Cardiology, Bezmialem Vakif University, Istanbul, Turkey.
› Author Affiliations Funding None.
Further Information

Publication History

13 October 2019

23 November 2019

Publication Date:
08 January 2020 (online)

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Abstract

Reactive airway disease is a prevalent condition that can be detected in the early infancy period. The condition might also deteriorate into asthma in some cases. If infants do not respond to the treatment of persistent wheeze and coughing, other rare causes should be investigated. The complete form of vascular ring is an extremely uncommon congenital cardiovascular abnormality. Double aortic arch constitutes the most significant portion of the complete vascular ring anomalies. Clinical manifestations of the anomaly are mainly respiratory due to the tracheal compression and mimicking the conditions of asthma. There have not been many reports about the clinical presentations of double aortic arch being remarkably similar to the same clinical manifestations of asthma in the literature. As far as we can be sure, there have not been any reported cases about severe reactive airway disease that caused a patient to have a life-threatening condition in the pediatric intensive care unit. Herein, we present a 5-month-old girl who had double aortic arch. Her anatomical aberration was diagnosed by three-dimensional computed tomography angiography of thorax, and the anomaly mimicked the clinical characteristics of life-threatening severe reactive airway disease.

Keywords

double aortic arch - reactive airway disease - respiratory insufficiency - childhood

Note

All authors participated in creating content for the manuscript, editing, and provided final approval for submission. No undisclosed authors contributed to the manuscript.


Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors. Institutional Review Board approval was not required for this case report.


 

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