Double aortic arch masquerading as bronchial asthma for five decades.
A 60-year-old man treated for chronic bronchial asthma for more than 5 decades, presented in a debilitated condition. Chest radiography showed mediastinal widening, electrocardiography revealed left anterior hemiblock, magnetic resonance imaging and angiocardiography confirmed double aortic arch. He underwent excision of the anterior arch and release of the trachea and esophagus. Double aortic arch should be considered in the differential diagnosis of chronic asthma when a patient fails to respond to medical treatment.
Cardiovascular & Thoracic Surgery, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, Kashmir, India. gn_lone@yahoo.co.in
Ghulam Nabi
GN
Lone
Shyam Singh
SS
Rathore
Javed Ahmad
JA
Malik
Hakim Zubair
HZ
Ashraf
Asrar Ahmad
AA
Qadri
D000790:Angiocardiography; D018927:Anti-Asthmatic Agents / Q000627:therapeutic use; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D001027:Aortography / Q000379:methods; D001249:Asthma / Q000175:diagnosis* / Q000188:drug therapy; D001784:Blood Gas Analysis; D003951:Diagnostic Errors; D004562:Electrocardiography; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D012129:Respiratory Function Tests; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D055090:Tracheomalacia / Q000209:etiology; D016896:Treatment Outcome; D019564:Unnecessary Procedures; D054079:Vascular Malformations / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D014656:Vascular Surgical Procedures
D018927:Anti-Asthmatic Agents