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Adult Dysphagia Associated with Type B Double Aortic Arch

Department of Cardiac Surgery, Royal Hospital for Sick Children, Glasgow, United Kingdom

For reprint information contact: James Pollock, FRCS Tel: 44 141 201 0269 Fax: 44 141 201 9204 Email: jim.pollock{at}yorkhill.scot.nhs.uk., Department of Cardiac Surgery, Royal Hospital for Sick Children, Dalnair Street, Glasgow G3 8SJ, Scotland, United Kingdom.

Esophageal compression secondary to a double aortic arch is rare in adults due to its propensity to cause severe symptoms in infancy or childhood. We report four adult patients with dysphagia associated with a double aortic arch. Chromosome analysis in one of these patients revealed a balanced translocation between chromosomes 4 and 18 – this has not been previously reported. Surgical division is indicated in all symptomatic patients and provides excellent operative results.