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BMJ Case Rep. 2014 Jun 3;2014. pii: bcr2013202164. doi: 10.1136/bcr-2013-202164.

Vascular ring diagnosis following respiratory arrest.

Author information

1
Department of Respiratory Paediatrics, Leeds General Infirmary, Leeds, UK.
2
Department of Paediatrics, Leeds General Infirmary, Leeds, UK.
3
Department of Paediatric Surgery, Leeds General Infirmary, Leeds, UK.

Abstract

Vascular rings can present with non-specific respiratory and/or oesophageal symptoms. Early diagnosis requires a high index of suspicion. This case report describes an uncommon acute presentation of a vascular ring. We report a thriving 14-month-old child with a long history of recurrent wheeze and 'noisy breathing'. He presented acutely with food bolus impaction in the oesophagus which led to a respiratory arrest. Oesophagoscopy and bronchoscopy suggested vascular ring anomaly. A contrast-enhanced CT scan demonstrated a right-sided aortic arch with left ligamentum arteriosum encircling the oesophagus and airway. The ligament was ligated and divided. At follow-up 6 months later, the infant had mild persistent stridor but was otherwise well.

PMID:
24895385
PMCID:
PMC4054334
DOI:
10.1136/bcr-2013-202164
[Indexed for MEDLINE]
Free PMC Article
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