Table I
Details of 16 Patients with Symptomatic Aortic Arch Anomalies.
S.No. |
Age symp |
Age Diag |
Sex/Wt (kg) |
Symptoms |
Conf. test |
Anatomy |
Complication |
Late outcome |
1 |
0 m |
5 m |
F/4 |
Noisy breathing, RD, stridor |
Angio |
DAA, P>A |
Chylothorax |
well |
2 |
1 m |
18 m |
M/10 |
Vomiting, regurgitation, later |
Angio |
DAA, AD, |
nil |
well |
|
|
|
|
dysphagia |
|
LA,Atretic LAA |
|
|
3 |
1 m |
7 m |
F/6 |
Recurrent stridor |
CT |
DAA, P>A |
nil |
well |
4 |
4 m |
9 m |
F/7 |
Recurrent RD, noisy breathing, |
CT |
DAA, P >A |
nil |
Persistent |
vomit | airway symptoms | |||||||
5 |
0 m |
13 m |
M/10 |
Rec LRI, noisy breathing |
Angio |
DAA, P >A |
nil |
well |
6 |
3 m |
11 m |
M/8 |
Rec LRI, noisy breathing, dysphagia |
DSA |
DAA, P=A |
nil |
well |
7 |
0 m |
0.5 m |
F/3 |
Stridor |
DSA |
DAA, A > P |
Long ventilation |
Persistent airway symptoms, feeding problems |
8 |
0 m |
1 m |
F/3 |
noisy breathing, bronchiolitis |
DSA |
DAA, P > A |
nil |
well |
9 |
2 m |
5 m |
F/5 |
noisy breathing, stridor |
Angio |
DAA, P > A |
nil |
well |
10 |
1 m |
3 m |
M/4 |
RD, feeding problems |
MRI |
DAA, A > P |
nil |
well |
11 |
0 m |
2 m |
M/3 |
RD, stridor |
DSA |
DAA, P > A |
nil |
well |
12 |
1 m |
5 m |
M/4 |
noisy breathing, stridor |
Angio |
DAA, A > P |
nil |
well |
13 |
0 m |
2 m |
M/3 |
RD, cough, vomiting |
MRI |
RAA, AD |
Chylothorax |
well |
|
|
|
|
|
|
aberrant LSA, |
|
|
|
|
|
|
|
|
LA |
|
|
14 |
6 m |
10 m |
F/9 |
Rec LRI |
DSA |
RAA, AD |
nil |
well |
|
|
|
|
|
|
aberrant LSA, LA |
|
|
15 |
12 m |
36 m |
M/13 |
Rec LRI, dysphagia |
DSA |
RAA, |
nil |
Recurrent cough |
|
|
|
|
|
|
aberrant LSA, LA |
|
|
16 |
3 m |
8 m |
F/6 |
Rec LRI |
DSA |
RAA |
nil |
well |
|
|
|
|
Failure to thrive |
|
aberrant LSA, LA |
|
A anterior arch, AD aortic diverticulum, Age Diag age at diagnosis, Age Symp age at onset of symptoms, Angio angiography, conf. test confirmatory test, CT computerized tomogram, DAA double aortic arch, DSA digital subtraction angiography, LA ligamentum arteriosum, LAA left anterior arch, LSA left subclavian artery, m months, MRI magnetic resonance imaging, P posterior arch, RAA right arch, RD respiratory distress, Rec LRI recurrent lower respiratory infection,