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Double aortic arch with right positioned descending thoracic aorta and coexistent aortic kinking
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  1. Biagio Ricciuti1,
  2. Alberto Rebonato2,
  3. Enrico Capodicasa1
  1. 1Department of Internal Medicine, Santa Maria della Misericordia Hospital, Perugia, Italy
  2. 2Department of Diagnostic Imaging, Santa Maria della Misericordia Hospital, Perugia, Italy
  1. Correspondence to Biagio Ricciuti, biagio.ricciuti{at}gmail.com

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An 82-year-old woman presented with fever, severe dyspnoea and pneumonia, which required non-invasive ventilation and intravenous antibiotics. She had a history of recurrent airway infections with inspiratory stridor and dysphagia. During the pneumonia work up, in order to unveil a predisposing condition for pneumonia, and rule out alternative diagnoses, a high resolution CT scan of the chest revealed the presence of a double aortic arch. Following this finding, a contrast-enhanced three-dimensional …

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