title: ALTE and Feeding Intolerance as a Presentation of Double Aortic Arch.
abstract: Many children who are admitted to pediatric hospitals with the chief complaint of apparent life-threatening event (ALTE) are, in fact, well appearing by the time the inpatient medical team evaluates the patient. This presents a diagnostic and therapeutic challenge. We describe a case of a six-month-old full-term female presenting with an ALTE and found to have a double aortic arch, a congenital anomaly that usually presents with a more progressive onset of symptoms such as chronic cough, positional stridor, and feeding difficulties. This case highlights the importance of maintaining a broad differential in a patient presenting with findings of tracheoesophageal pathology on clinical exam.
authors.affiliation: Department of Pediatrics at the Children's Hospital of Los Angeles, Los Angeles, CA, USA.
authors.forename: Rekha
authors.identifier: 0000-0002-8452-1764
authors.initials: R
authors.lastname: Krishnasarma
authors.affiliation: Department of Pediatrics at the Children's Hospital of Los Angeles, Los Angeles, CA, USA.
authors.forename: Liza
authors.initials: L
authors.lastname: Green Golan Mackintosh
authors.affiliation: Department of Pediatrics at the Children's Hospital of Los Angeles, Los Angeles, CA, USA.
authors.forename: Francine
authors.initials: F
authors.lastname: Bynum