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(Chest. 1953;23:36-42.)
© 1953 American College of Chest Physicians

Double Aortic Arch Associated with Coarctation of the Aorta: Surgically Treated Patient

THOMAS J. DRY M.B.1; O. THERON CLAGETT M.D.2; ROY F. SAXON JR. M.D.3; DAVID G. PUGH M.D.4; and JESSE E. EDWARDS M.D.5

1 Division of Medicine, Mayo Clinic, Rochester, Minnesota.
2 Division of Surgery, Mayo Clinic, Rochester, Minnesota.
3 Fellow in Medicine, Mayo Foundation, University of Minnesota.
4 Section of Roentgenology, Mayo Clinic, Rochester, Minnesota.
5 Section of Pathologic Anatomy, Mayo Clinic, Rochester, Minnesota.

The case of a 25-year-old man with double aortic arch, coarctation of the left arch and stenosis of the right arch is reported. The usual clinical signs of coarctation of the aorta were exhibited. A vascular malformation in association with the coarctation was suspected from the roentgenoscopic examination, which revealed esophageal compression in the upper part of the thorax. No symptoms of esophageal or tracheal dysfunction were present.

Treatment consisted in resection of the area of coarctation in the left arch with end-to-end anastomosis of this arch. The continuity of the right arch was interrupted. The postoperative course of the patient was good.






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Copyright © 1953 by the American College of Chest Physicians.