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Clinical Note |

Adolescent Tracheobronchomalacia Double Aortic Arches Revisited

Neil Tanna, MD, MBA; Arjun S. Joshi, MD; Douglas Sidell, BS; Rahul K. Shah, MD; Diego A. Preciado, MD, PhD
Arch Otolaryngol Head Neck Surg. 2008;134(4):434-436. doi:10.1001/archotol.134.4.434.
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The double aortic arch (DAA) is the most common vascular ring disorder recognized clinically.1,2 Most cases are diagnosed in the neonatal population, with respiratory and gastroesophageal symptoms predominating. Several modalities have been used to identify this vascular anomaly, and diagnostic methods vary among institutions.14 Direct endoscopic evaluation is a diagnostic tool available to clinicians, but imaging also has been shown to be an effective method for recognizing the DAA.4

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Figure 1.

Chest radiography demonstrates an opacity at the level of the thoracic inlet, indenting the right contour of the trachea (arrow).

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Figure 2.

Axial magnetic resonance imaging reveals a double aortic arch with tracheal compression.

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