MedPix® Patient Chart - Case No: 10931 :: Imaging - Review Images

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History

Age: 1 :: Gender: boy

Patient History

16 month old boy with wheezing.

Exam


Physical Exam and Laboratory


Findings


Summary of Findings

• The patient has a double aortic arch with mild right-arch dominance in size (right arch 8 mm left arch 6 mm diameter).
• There is resulting mass-effect on the trachea where the trachea narrows to 3.5 mm.
• There is posterior mass-effect on the esophagus with resulting dilation of the more proximal esophagus. The distal esophagus is also dilated and courses slightly to the left of the aorta.

• The right carotid artery and right subclavian artery originate separately from the right arch while the left carotid artery and left subclavian artery have separate origins from the left arch.

• The descending aorta travels just to the right of midline and then midline more inferiorly.


Diffferential


Differential Diagnosis

Double aortic arch


Diagnosis


Diagnosis

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Treatment


Treatment and Followup

Treatment not available without Diagnosis

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Topic

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Case Contributor and Editor
Topic Author(s): Schroeder
Submitted by: Peter Vangeertruyden - Author Info
Case/Image Editor: Matthew Monson - Editor Info
Case Accepted: 2007-05-30 09:45:32-04 :: Revised: :: Submitted:
COW: 356 :: CME Start: 20070607 :: CME End: 20110417 :: CME Review Due: 20130115 :: Reviewer: 2

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