Many children who are admitted to pediatric hospitals with the chief complaint of apparent life-threatening event (ALTE) are, in fact, well appearing by the time the inpatient medical team evaluates the patient. This presents a diagnostic and therapeutic challenge. We describe a case of a six-month-old full-term female presenting with an ALTE and found to have a double aortic arch, a congenital...

A 63-year-old male with history of hypertension, dyspnea on exertion, and chronic chest pain was admitted for elective cardiac angiography. Arterial blood pressure was 160/90 mmHg in both arms. Femoral and popliteal pulses were extremely weak, and third (S3) and fourth (S4) heart sounds were audible. Aortography showed a mildly dilated aortic root with double brachiocephalic trunk and interrupt...

Two cases ofpersistent leftfifth aortic archforming a congenital double lumen aortic arch have been confirmed at necropsy. In the first case, the diagnosis was suspected during life after aortography. An unusual vessel ran inferior and parallel to the aortic arch from the innominate artery to the left subclavian artery. It lay superior to the pulmonary artery. Both cases were associated with ot...

A 77-year-old Caucasian woman presented to our hospital with difficulty swallowing solid food and weight loss during the past 2 years. She did not drink alcohol or smoke. Her physical examination and her past medical history were unremarkable. Radiograph of the chest showed a right-sided aortic arch (Figure 1). A barium esophagogram was performed. A double indentation at the level of the aortic...

A 3-month-old male infant, with diagnosis of a complex, cyanotic, congenital heart disease (double-outlet right ventricle, pulmonary stenosis, and hypoplastic pulmonary arteries, among other defects) and a double aortic arch (Fig. 1, [L, left; LCA, left carotid artery; LSA, left subclavian artery; R, right; RCA, right carotid artery; RSA, right subclavian artery]), had required a shunt from asc...

vertebral artery is the first branch of subclavian artery. it merges with the same artery of the opposite side to form basilar artery and becomes one of the important source of blood supply to the brain. variation in the origin of left vertebral artery was found in 65 year old female during magnetic resonance angiography of the neck vessels. it originated from aortic arch and was longer as comp...