Garti I J, Aygen M M, Levy M J
AJR Am J Roentgenol. 1979 Aug;133(2):251-6. doi: 10.2214/ajr.133.2.251.
The clinical, radiologic, angiographic, and operative findings in 15 patients with double aortic arch are described. In five patients, both arches were functional; in the other 10, a portion of the left arch was atretic. Depending on the location of the atretic segment, the anomalies were classified into types A, B, and C double aortic arch. We considered an additional type D double aortic arch which as yet remains a theoretical possibility. With the help of refined angiographic signs obtained by countercurrent right brachial angiography and on the basis of clinical and radiologic signs of tracheoesophageal compression, the differential diagnosis among various types of double aortic arch and right aortic arch anomalies was improved.
本文描述了15例双主动脉弓患者的临床、放射学、血管造影及手术所见。其中5例患者的双主动脉弓均有功能；另外10例患者左主动脉弓的一部分闭锁。根据闭锁段的位置，这些异常被分为A、B、C型双主动脉弓。我们还考虑了一种D型双主动脉弓，不过目前它仍只是一种理论上的可能性。借助经右肱动脉逆流血管造影获得的精确血管造影征象，并基于气管食管受压的临床及放射学征象，不同类型双主动脉弓及右主动脉弓异常之间的鉴别诊断得到了改善。
