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Double Aortic Arch

Imaging findings

Radiographs showed indentation on both sides of the trachea and a fullness in the right paratracheal space. CT confirmed a symmetric double aortic arch causing vascular ring symptoms.

Key takeaways

Vascular rings, though rare (approximately 1 in 10,000), should be considered in patients with persistent airway or swallowing symptoms; look for tracheal indentation on multiple views.

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