Respiratory Arrest in Infant Secondary to Vascular Ring; Mirror Image Branching with Right Aortic Arch and Left Ligamentum Arteriosum

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Yildirim A., Kosger P., Ozdemir G., Demir T., UÇAR B., Kilic Z.

GUNCEL PEDIATRI-JOURNAL OF CURRENT PEDIATRICS, vol.12, no.3, pp.175-178, 2014 (ESCI) identifier identifier

  • Publication Type: Article / Review
  • Volume: 12 Issue: 3
  • Publication Date: 2014
  • Doi Number: 10.4274/jcp.43531
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.175-178
  • Eskisehir Osmangazi University Affiliated: Yes


Vascular ring is a group of abnormalities that may cause respiratory and feeding problems with varying degrees of compression on the trachea and esophagus by the aortic arch and pulmonary artery. Cough, dyspnea, inspiratory stridor, dysphagia and respiratory failure are seen in these patients at varying intensities. The 15 days old male baby who had difficulty in breathing, had wheezing and coughing was diagnosed with pneumonia and was hospitalized. The patient was referred to us upon developing respiratory arrest. Mirror image branching with right arcus aorta and left ligamentum arteriosum was detected. Trachea and eosophagus of the patient were compressed at varying intensities. Symptoms of the patient related with tracheobronchomalacia which developed due to tracheal compression continued after operation. Patient died on the postoperative day 43 after developing pneumonia and sepsis. With this patient emphasis was placed on the necessity of vascular ring should be in the differential diagnosis in infant and early childhood patients applying with recurrent respiratory symptoms such as wheezing, chronic cough, stridor and those applying with respiratory arrest to the emergency department.