title: Vascular ring diagnosis following respiratory arrest.
abstract: Vascular rings can present with non-specific respiratory and/or oesophageal symptoms. Early diagnosis requires a high index of suspicion. This case report describes an uncommon acute presentation of a vascular ring. We report a thriving 14-month-old child with a long history of recurrent wheeze and 'noisy breathing'. He presented acutely with food bolus impaction in the oesophagus which led to a respiratory arrest. Oesophagoscopy and bronchoscopy suggested vascular ring anomaly. A contrast-enhanced CT scan demonstrated a right-sided aortic arch with left ligamentum arteriosum encircling the oesophagus and airway. The ligament was ligated and divided. At follow-up 6 months later, the infant had mild persistent stridor but was otherwise well.
authors.affiliation: Department of Respiratory Paediatrics, Leeds General Infirmary, Leeds, UK.
authors.forename: Evie Alexandra
authors.initials: EA
authors.lastname: Robson
authors.affiliation: Department of Respiratory Paediatrics, Leeds General Infirmary, Leeds, UK.
authors.forename: Alison
authors.initials: A
authors.lastname: Scott
authors.affiliation: Department of Paediatrics, Leeds General Infirmary, Leeds, UK.
authors.forename: Philip
authors.initials: P
authors.lastname: Chetcuti
authors.affiliation: Department of Paediatric Surgery, Leeds General Infirmary, Leeds, UK.
authors.forename: David
authors.initials: D
authors.lastname: Crabbe
mesh_terms: D001013:Aorta, Thoracic / Q000002:abnormalities*; D001015:Aortic Arch Syndromes / Q000150:complications* / Q000175:diagnosis; D001999:Bronchoscopy; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D012131:Respiratory Insufficiency / Q000175:diagnosis / Q000209:etiology*; D014057:Tomography, X-Ray Computed