title: Typical asthmatic presentation of congenital vascular ring can masquerade a general physician.
abstract: A 24-year-old woman was referred to pulmonologist with worsening breathlessness and wheeze. During childhood, she was diagnosed with asthma and subsequent exacerbations were treated with bronchodilators for many years. The chest X-ray and a spirometry testing raised a doubt of extrinsic tracheal compression and a subsequent enhanced chest CT (computerized tomogram) scan confirmed a right-sided aortic arch and a vascular ring anomaly compressing the trachea. Standard surgical division of ligamentum arteriosum was able to relieve the trachea and so the symptoms.
authors.affiliation: Department of Cardiothoracic Surgery, Heart Care Centre, Al Ahli Hospital, 2nd Floor, Bin Omran, P.O. Box 6401, Doha, Qatar.
authors.forename: Naveen
authors.initials: N
authors.lastname: Swami
authors.forename: Georgey
authors.initials: G
authors.lastname: Koshy
authors.forename: Maan
authors.initials: M
authors.lastname: Jamal
authors.forename: Thair S
authors.initials: TS
authors.lastname: Abdulla
authors.forename: Abdulaziz
authors.initials: A
authors.lastname: Alkhulaifi