He Xinjian, Zhao Ning, Chen Jiaoyang, Wei Jiuru, Cui Yun, Li Gaoyang
Department of Ultrasound diagnosis, Children's Hospital of Hebei Province, Hebei Medical University, Shijiazhuang, China.
Department of Fetal health, Maternal and Children Health Care Center of Hebei Province, Shijiazhuang, China.
Echocardiography. 2019 Dec;36(12):2274-2277. doi: 10.1111/echo.14534. Epub 2019 Nov 19.
Double aortic arch with atretic left arch distal to the origin of left subclavian artery is a rare type of vascular ring, and it can be easily confused with the right aortic arch with mirror branching. We provided a rare case of a 10-month-old infant with dyspnea. Echocardiography showed a suspicious double aortic arch with atretic left arch distal to the origin of left subclavian artery, which was confirmed intra-operatively. We summarize ultrasonic image characteristics of the disease and combine it with computed tomography angiography, bronchoscopy, and clinical symptoms in order to improve the detection rate and treatment strategy.
左锁骨下动脉起源远端左主动脉弓闭锁的双主动脉弓是一种罕见的血管环类型，很容易与镜像分支的右主动脉弓相混淆。我们报告了一例10个月大的呼吸困难婴儿的罕见病例。超声心动图显示左锁骨下动脉起源远端左主动脉弓闭锁的可疑双主动脉弓，术中得以证实。我们总结了该病的超声图像特征，并将其与计算机断层血管造影、支气管镜检查及临床症状相结合，以提高检出率和治疗策略。
