Surgical treatment of double aortic arch with right dominant arcus: Report of three cases

Abstract

We presem three cases, surgically treated for double aortic arch (DAA). Age of the patients were three months old, twenty four months old and thirty months old. The major symptoms were difficulty in breathing, stridor, recurrent respiratory infection, intermittant cyanosis and dysphagia. Symptoms were noted at birth but diagnosis delayed because of that underlying condition was not suspected by the primary physician. Angiocardiograpy were performed in all patients. Aortography showed DAA with hypoplasia of the left aortic arch and dominant right arch. Surgical division of hypoplastic left arch has been performed without mortality in these three patients. Symptomatic improvement was achieved in all patients.