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Article
April 1943

CONSTRICTING DOUBLE AORTIC ARCH: REPORT OF A CASE

Author Affiliations

PHILADELPHIA
From the Department of Clinical Laboratories and Bronchoscopic Clinic, Jefferson Hospital.

Arch Otolaryngol. 1943;37(4):558-562. doi:10.1001/archotol.1943.00670030570009
Abstract

A constricting double aortic arch in infancy, although somewhat rare, occurs frequently enough to warrant the reporting of an additional case. Wolman1 in 1939 found only 6 such cases in the literature, and to these he added 1 of his own. Schall and Johnson2 reported 1 essentially similar in 1940, and Arana and Aguirre3 reported a ninth case in the same year.

Wolman1 outlined an associated symptom complex which is remarkably constant, not only in those cases reviewed by him, but in subsequent cases as well. This consists of "stridulous breathing, chronic cough, respiratory distress while feeding, failure to thrive, susceptibility to bronchopneumonia, head retraction, and malnutrition." The symptoms and course in the following case adhere closely to this pattern.

REPORT OF CASE  A white girl aged 2½ months was admitted to the service of Dr. Louis H. Clerf at Jefferson Hospital on Jan. 16, 1942, with a history of

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