ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
Surgical treatment of double aortic arch
Buğra Harmandar1, Numan Ali Aydemir1, Ali Rıza Karacı1, Ahmet Şaşmazel1, Ahmet Bolukçu1, İlker Kemal Yücel2, Filiz Coşkun3, Ahmet Çelebi2
Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
1Departments of Pediatric Cardiac Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
2Departments of Pediatric Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
3Departments of Cardiovascular Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
DOI : 10.5606/tgkdc.dergisi.2014.9443
Background: This study aims to describe the management and surgical outcomes of patients with isolated double aortic arch (DAA).

Methods: Data regarding presentation, management, and surgical outcomes of 11 patients (8 girls, 3 boys; median age of 18.6 months) operated between January 2006 and January 2012 due to DAA were evaluated retrospectively. Duration of the reversal of symptoms was recorded throughout the follow-up period.

Results: The median age at the onset of symptoms was 3.5 months (birth to 4 years). Gastrointestinal symptoms were present in all and respiratory symptoms were present in 45.5% of patients, with difficulty in feeding and recurrent respiratory tract infections being the most common symptoms, respectively. All patients underwent corrective surgery successfully. No early or late death occurred. No reoperations were required during follow-ups. Symptoms involving gastrointestinal tract disappeared in all patients (100%) in mean 6.4±4.3 months, whereas respiratory symptoms disappeared in four patients (80%) in 11.4±7.2 months.

Conclusion: Today, results of surgical treatment of DAA are satisfying. Following surgery, while gastrointestinal symptoms disappeared in all patients regardless of age, complete relief of respiratory symptoms requires early intervention.

Keywords : Double aortic arch; oesophageal stenosis; tracheal stenosis; vascular ring
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