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Double aortic arch

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Shortness of breath and chronic dysphagia for a long period of time.

Patient Data

Age: 80 years
Gender: Female
ct

The double aortic arch with dominant left arch, forming a vascular ring surrounding the trachea and esophagus, reducing the oesophagal lumen with four-vessel signs. 

Descending thoracic aorta in the right side and turn to the left when entering into the abdomen.

Thoracic spine degenerative changes as endplate sclerosis and marginal osteophyte formation are seen.

Case Discussion

The recent case referred to us due to work up imaging for long time shortness of breath and the double aortic arch was an incidental finding. The patient never visited any physicians for an assessment of her clinical symptoms.

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