Double aortic arch masquerading as bronchial asthma for five decades

Asian Cardiovasc Thorac Ann. 2012 Jun;20(3):338-40. doi: 10.1177/0218492311435818.

Abstract

A 60-year-old man treated for chronic bronchial asthma for more than 5 decades, presented in a debilitated condition. Chest radiography showed mediastinal widening, electrocardiography revealed left anterior hemiblock, magnetic resonance imaging and angiocardiography confirmed double aortic arch. He underwent excision of the anterior arch and release of the trachea and esophagus. Double aortic arch should be considered in the differential diagnosis of chronic asthma when a patient fails to respond to medical treatment.

Publication types

  • Case Reports

MeSH terms

  • Angiocardiography
  • Anti-Asthmatic Agents / therapeutic use
  • Aorta, Thoracic / abnormalities*
  • Aorta, Thoracic / diagnostic imaging
  • Aorta, Thoracic / surgery
  • Aortography / methods
  • Asthma / diagnosis*
  • Asthma / drug therapy
  • Blood Gas Analysis
  • Diagnostic Errors*
  • Electrocardiography
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Predictive Value of Tests
  • Respiratory Function Tests
  • Time Factors
  • Tomography, X-Ray Computed
  • Tracheomalacia / etiology
  • Treatment Outcome
  • Unnecessary Procedures
  • Vascular Malformations / complications
  • Vascular Malformations / diagnosis*
  • Vascular Malformations / surgery
  • Vascular Surgical Procedures

Substances

  • Anti-Asthmatic Agents