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Oesophageal foreign body and a double aortic arch: rare dual pathology

  • T E O'Connor (a1) and T Cooney (a1)

Abstract

Objective:

We report the rare case of an oesophageal foreign body which lodged above the site of oesophageal compression by a double aortic arch.

Methods:

Case report and a review of the literature surrounding the classification, embryology, diagnosis and management of vascular rings and slings.

Results:

An eight-month-old male infant presented with symptoms of tracheal compression following ingestion of an oesophageal foreign body. Following removal of the oesophageal foreign body, the infant's symptoms improved initially. However, subsequent recurrence of respiratory symptoms lead to a repeat bronchoscopy and the diagnosis of a coexisting double aortic arch, causing tracheal and oesophageal compression.

Conclusion:

To our knowledge, this is only the second reported case of a double aortic arch being diagnosed in a patient following removal of an oesophageal foreign body.

Copyright

Corresponding author

Address for correspondence: Mr Tony O'Connor, Unit 2, 122 Marine Parade, Cottesloe, Perth, Western Australia 6011. Fax: +61 893408693 E-mail: antoconnor@ireland.com

References

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1Park, MK. Vascular rings. In: Park, MK, ed. Pediatric Cardiology for Practitioners, 4th edn., St Louis: Mosby, 2002;241
2Shah, RK, Mora, BN, Bacha, E, Sena, LM, Buonomo, C, Del Nido, P. The presentation and management of vascular rings: an otolaryngology perspective. Int J Pediatr Otorhinolaryngol 2007;71:5762
3Currarino, G, Nikaidoh, H. Esophageal foreign body in children with vascular ring or aberrant subclavian artery: coincidence or causation? Pediatr Radiol 1991;21:406–8
4Kaiser, LR, Kron, IL, Spray, TL, eds. Mastery of Cardiothoracic Surgery. Philadelphia: Lippincott-Raven, 1998
5Shields, TW, LoCicero, J, Ponn, RB eds. General Thoracic Surgery. Philadelphia: Lippincott Williams & Wilkins, 2000
6Woods, RK, Sharp, RJ, Holcomb, GW. Vascular anomalies and tracheoesophageal compression: a single institution's 25-year experience. Ann Thorac Surg 2001;72:434–9
7Turner, A, Gavel, G, Coutts, J. Vascular rings – presentation, investigation and outcome. Eur J Pediatr 2005;164:266–70
8Lillehei, CW, Colan, S. Echocardiography in the preoperative evaluation of vascular rings. J Pediatr Surg 1992;27:1118–21

Keywords

Oesophageal foreign body and a double aortic arch: rare dual pathology

  • T E O'Connor (a1) and T Cooney (a1)

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