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Oesophageal foreign body and a double aortic arch: rare dual pathology

Published online by Cambridge University Press:  27 May 2009

T E O'Connor  and
T Cooney
T E O'Connor*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Princess Margaret Hospital for Children, Perth, Western Australia, Australia
T Cooney
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Princess Margaret Hospital for Children, Perth, Western Australia, Australia
*
Address for correspondence: Mr Tony O'Connor, Unit 2, 122 Marine Parade, Cottesloe, Perth, Western Australia 6011. Fax: +61 893408693 E-mail: [email protected]
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Abstract

Objective:

We report the rare case of an oesophageal foreign body which lodged above the site of oesophageal compression by a double aortic arch.

Methods:

Case report and a review of the literature surrounding the classification, embryology, diagnosis and management of vascular rings and slings.

Results:

An eight-month-old male infant presented with symptoms of tracheal compression following ingestion of an oesophageal foreign body. Following removal of the oesophageal foreign body, the infant's symptoms improved initially. However, subsequent recurrence of respiratory symptoms lead to a repeat bronchoscopy and the diagnosis of a coexisting double aortic arch, causing tracheal and oesophageal compression.

Conclusion:

To our knowledge, this is only the second reported case of a double aortic arch being diagnosed in a patient following removal of an oesophageal foreign body.

Keywords

Vascular RingForeign BodiesEsophagus
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 12 , December 2009 , pp. 1404 - 1406
Copyright
Copyright © JLO (1984) Limited 2009

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References

1Park, MK. Vascular rings. In: Park, MK, ed. Pediatric Cardiology for Practitioners, 4th edn., St Louis: Mosby, 2002;241Google Scholar
2Shah, RK, Mora, BN, Bacha, E, Sena, LM, Buonomo, C, Del Nido, P. The presentation and management of vascular rings: an otolaryngology perspective. Int J Pediatr Otorhinolaryngol 2007;71:57–62CrossRefGoogle ScholarPubMed
3Currarino, G, Nikaidoh, H. Esophageal foreign body in children with vascular ring or aberrant subclavian artery: coincidence or causation? Pediatr Radiol 1991;21:406–8CrossRefGoogle ScholarPubMed
4Kaiser, LR, Kron, IL, Spray, TL, eds. Mastery of Cardiothoracic Surgery. Philadelphia: Lippincott-Raven, 1998Google Scholar
5Shields, TW, LoCicero, J, Ponn, RB eds. General Thoracic Surgery. Philadelphia: Lippincott Williams & Wilkins, 2000Google Scholar
6Woods, RK, Sharp, RJ, Holcomb, GW. Vascular anomalies and tracheoesophageal compression: a single institution's 25-year experience. Ann Thorac Surg 2001;72:434–9CrossRefGoogle ScholarPubMed
7Turner, A, Gavel, G, Coutts, J. Vascular rings – presentation, investigation and outcome. Eur J Pediatr 2005;164:266–70CrossRefGoogle ScholarPubMed
8Lillehei, CW, Colan, S. Echocardiography in the preoperative evaluation of vascular rings. J Pediatr Surg 1992;27:1118–21CrossRefGoogle ScholarPubMed