ABSTRACT
The vascular rings are defined as congenital anomalies of the aortic arch in which the trachea and oesophagus are surrounded completely or partially by vascular structures that cause respiratory or feeding problems. Double Aortic Arch [DAA] is the most common clinically recognized form of vascular rings and constitutes about 40% of vascular ring anomalies. Is to detect different methods of diagnosis of double aortic arch [DAA] and mode of treatment. Retrospective analysis of 13 infants with DAA was done where clinical presentation, investigations, surgical approach, and early postoperative outcome was studied and analysed. Thirteen patients presented to us with documented diagnosis of double aortic arch as a sub-entity of vascular ring [9 females and 4 males]. All patients presented with respiratory problems mainly dyspnea while dysphagia was encountered only in 9 patients. Age ranged from 4-7 months. Chest radiography was performed for all infants and denoted tracheal narrowing only in 9 patients, while multi slice CT was the gold standard tool for diagnosis of the DAA. Surgical outcome was favourable with postoperative hospital stay ranged from 4-12 days. We encountered only one post-operative mortality. DAA should be suspected in any infant presented with dyspnea or dysphagia. Early investigation is valuable for prevention of morbidity and mortality. Surgical repair of DAA is of favourable outcome