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KMID : 0367419960390050727
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Journal of Korean Pediatric Society
1996 Volume.39 No. 5 p.727 ~ p.731
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An Autopsy Case of Double Aortic Arch
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김지숙
조용명/고경희/김은령/지제근
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Abstract
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Double aortic arch is the most common type of symptomatic vascular ring. In most patients, the symptoms are manifested at birth or in early infancy. Double aortic arch usually has more severe symptoms than other types of complete vascular rings.
We experienced one cases of complete duplicated double aortic arch with left descending aorta and left patent ductus arteriosus. A one-day-old female neonate was transferred to our hospital because of mild dyspnea and stridor. She showed
intractable CO2
retention and respiratory difficulty with time in spite of ventilatory therapy. She died of respiratory failure 23 hours after birth. On autopsy, we found that the diameter of the vascular ring was 0.7cm in maximum extent. It was ovoid and
contained
trachea and esophagus. The trachea was flattened due to allowing 0.1×0.2cm. The compression level of the trachea was approximately 1cm from the tracheal bifurcation.
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KEYWORD
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