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Double aortic arch: a cause of stridor to remember
  1. Vera Baptista1,
  2. Inês Azevedo2,
  3. Gisela Rio3,
  4. Carla Moreira1
  1. 1Department of Pediatrics, Hospital de Braga, Braga, Portugal
  2. 2Department of Pediatrics, Faculty of Medicine, Centro Hospitalar S João, Oporto, Portugal
  3. 3Department of Radiology, Hospital de Braga, Braga, Portugal
  1. Correspondence to Dr Vera Baptista, verabaptista1{at}

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A previously healthy baby boy was admitted several times to the paediatric emergency department, from the age of 2 months, presenting respiratory distress, cough and wheezing. The episodes were managed as viral respiratory infections and inhaled bronchodilators, oral corticosteroids and chest physiotherapy were prescribed. At 6 months of age, during the third hospitalisation, a biphasic stridor was noted. The nasolaryngofibroscopy initially performed was unremarkable. At 7 months, a fiberoptic bronchoscopy showed a pulsatile …

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