Double Aortic Arch Anomaly Mimicking Asthma and Laryngomalacia: Two Case Reports

This report describes two patients (a 7-year-old boy and a 3-month-old boy)  who have had chronic and recurrent respiratory distress and wheezing episodes  since infancy. The elder one had been treated for hyper-reactive airway disease  and asthma, and the other had been diagnosed with laryngomalacia. The  problems had been associated with cyanosis and did not improve with routine  treatment; therefore, we considered other underlying diseases, such as  cardiovascular problems. The diagnostic workups revealed the “double aortic  arch” which had not been diagnosed previously.