Journal of the Korean Pediatric Society 1996;39(5):727-731.
Published online May 15, 1996.
An Autopsy Case of Double Aortic Arch
Ji Sook Kim1, Yong Myung Jo1, Kyung Hee Ko1, Eun Ryoung Kim1, Je Grun Chi2
1Department of Pediatrics, Sung-Ae General Hospital, Seoul, Korea
2Department of Pathology, Seoul National University College of Medicine, Seoul, Korea
중복 대동맥궁 부검 1례
김지숙1, 조용명1, 고경희1, 김은령1, 지제근2
1성애병원 소아과
2서울대학교 의과대학 병리학교실
Abstract
Double aortic arch is the most common type of symptomatic vascularring. In most patients, the symptoms are manifested at birth or in early infancy. Double aortic arch usually has more severe symptoms than other types of complete vascular rings. We experienced one case of complete duplicated double aortic arch with left descending aorta and left patent ductus arteriosus. A one-day-old female neonate was transferred to our hospital because of mild dyspnea and stridor. She showed intractable CO2 retention and respiratory difficulty with time in spite of ventilator therapy. She died of respiratory failure 23 hours after birth. On autopsy, we found that the diameter of the vascular ring was 0.7cm in maximum extent. It was ovoid and contained trachea and esophagus. The trachea was flattened due to allowing 0.1¡¿0.2cm. The compression level of the trachea was approximately 1cm from the tracheal bifurcation.
Key Words: Double aortic arch, Congenital heart disease, Respiratory distress


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