Fenández-Tena Ana, Martínez-González Cristina
University of Oviedo, Hospital Universitario Central de Asturias (HUCA), Avda de Roma s/n, 33011 Oviedo, Spain.
Respir Med Case Rep. 2017 Feb 28;20:176-178. doi: 10.1016/j.rmcr.2017.02.014. eCollection 2017.
Complete vascular rings are originated because of the persistence of the fourth aortic arches, which surround the trachea and esophagus partially or completely, compressing them. The most common type of complete vascular ring is the double aortic arch. Symptoms usually appear in the first months of life, and are provoked by esophageal and tracheal compression. The diagnosis is usually made through the chest X-ray and the esophagogram in patients with dysphagia. We present a case in which the diagnosis of a double aortic arch was made in adulthood, suspected through a spirometry test and a chest X-ray.
完全性血管环是由于第四对主动脉弓持续存在而形成的，它部分或完全环绕气管和食管，对其造成压迫。最常见的完全性血管环类型是双主动脉弓。症状通常在出生后的头几个月出现，由食管和气管受压引起。对于有吞咽困难的患者，诊断通常通过胸部X线和食管造影进行。我们报告一例成年患者诊断为双主动脉弓的病例，该病例最初通过肺活量测定试验和胸部X线检查怀疑。
