ALTE and Feeding Intolerance as a Presentation of Double Aortic Arch

Many children who are admitted to pediatric hospitals with the chief complaint of apparent life-threatening event (ALTE) are, in fact, well appearing by the time the inpatient medical team evaluates the patient. This presents a diagnostic and therapeutic challenge. We describe a case of a six-month-...

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Main Authors: Rekha Krishnasarma, Liza Green Golan Mackintosh, Francine Bynum
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2016/8475917
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author Rekha Krishnasarma
Liza Green Golan Mackintosh
Francine Bynum
author_facet Rekha Krishnasarma
Liza Green Golan Mackintosh
Francine Bynum
author_sort Rekha Krishnasarma
collection DOAJ
description Many children who are admitted to pediatric hospitals with the chief complaint of apparent life-threatening event (ALTE) are, in fact, well appearing by the time the inpatient medical team evaluates the patient. This presents a diagnostic and therapeutic challenge. We describe a case of a six-month-old full-term female presenting with an ALTE and found to have a double aortic arch, a congenital anomaly that usually presents with a more progressive onset of symptoms such as chronic cough, positional stridor, and feeding difficulties. This case highlights the importance of maintaining a broad differential in a patient presenting with findings of tracheoesophageal pathology on clinical exam.
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institution Kabale University
issn 2090-6803
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series Case Reports in Pediatrics
spelling doaj-art-e36ac61ad5984141885c193ebfa5196e2025-02-03T01:03:49ZengWileyCase Reports in Pediatrics2090-68032090-68112016-01-01201610.1155/2016/84759178475917ALTE and Feeding Intolerance as a Presentation of Double Aortic ArchRekha Krishnasarma0Liza Green Golan Mackintosh1Francine Bynum2Department of Pediatrics at the Children’s Hospital of Los Angeles, Los Angeles, CA, USADepartment of Pediatrics at the Children’s Hospital of Los Angeles, Los Angeles, CA, USADepartment of Pediatrics at the Children’s Hospital of Los Angeles, Los Angeles, CA, USAMany children who are admitted to pediatric hospitals with the chief complaint of apparent life-threatening event (ALTE) are, in fact, well appearing by the time the inpatient medical team evaluates the patient. This presents a diagnostic and therapeutic challenge. We describe a case of a six-month-old full-term female presenting with an ALTE and found to have a double aortic arch, a congenital anomaly that usually presents with a more progressive onset of symptoms such as chronic cough, positional stridor, and feeding difficulties. This case highlights the importance of maintaining a broad differential in a patient presenting with findings of tracheoesophageal pathology on clinical exam.http://dx.doi.org/10.1155/2016/8475917
spellingShingle Rekha Krishnasarma
Liza Green Golan Mackintosh
Francine Bynum
ALTE and Feeding Intolerance as a Presentation of Double Aortic Arch
Case Reports in Pediatrics
title ALTE and Feeding Intolerance as a Presentation of Double Aortic Arch
title_full ALTE and Feeding Intolerance as a Presentation of Double Aortic Arch
title_fullStr ALTE and Feeding Intolerance as a Presentation of Double Aortic Arch
title_full_unstemmed ALTE and Feeding Intolerance as a Presentation of Double Aortic Arch
title_short ALTE and Feeding Intolerance as a Presentation of Double Aortic Arch
title_sort alte and feeding intolerance as a presentation of double aortic arch
url http://dx.doi.org/10.1155/2016/8475917
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AT lizagreengolanmackintosh alteandfeedingintoleranceasapresentationofdoubleaorticarch
AT francinebynum alteandfeedingintoleranceasapresentationofdoubleaorticarch