title: Adult dysphagia associated with type B double aortic arch.
abstract: Esophageal compression secondary to a double aortic arch is rare in adults due to its propensity to cause severe symptoms in infancy or childhood. We report four adult patients with dysphagia associated with a double aortic arch. Chromosome analysis in one of these patients revealed a balanced translocation between chromosomes 4 and 18 - this has not been previously reported. Surgical division is indicated in all symptomatic patients and provides excellent operative results.
authors.affiliation: Department of Cardiac Surgery, Royal Hospital for Sick Children, Glasgow, Scotland, United Kingdom.
authors.forename: Ganesh
authors.initials: G
authors.lastname: Shanmugam
authors.forename: James
authors.initials: J
authors.lastname: Pollock
mesh_terms: D000328:Adult; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000000981:diagnostic imaging* / Q000601:surgery; D002887:Chromosomes, Human, Pair 18; D002894:Chromosomes, Human, Pair 4; D003680:Deglutition Disorders / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D011859:Radiography; D014178:Translocation, Genetic; D016896:Treatment Outcome