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Clinical Note
April 1, 2008

Adolescent TracheobronchomalaciaDouble Aortic Arches Revisited

Author Affiliations

Author Affiliations: Division of Otolaryngology–Head and Neck Surgery, The George Washington University (Drs Tanna, Joshi, Shah, and Preciado and Mr Sidell), and Department of Otolaryngology, Children's National Medical Center (Drs Shah and Preciado), Washington, DC.

Arch Otolaryngol Head Neck Surg. 2008;134(4):434-436. doi:10.1001/archotol.134.4.434

The double aortic arch (DAA) is the most common vascular ring disorder recognized clinically.1,2 Most cases are diagnosed in the neonatal population, with respiratory and gastroesophageal symptoms predominating. Several modalities have been used to identify this vascular anomaly, and diagnostic methods vary among institutions.14 Direct endoscopic evaluation is a diagnostic tool available to clinicians, but imaging also has been shown to be an effective method for recognizing the DAA.4

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