ALTE and Feeding Intolerance as a Presentation of Double Aortic Arch

Figure 1

Contrast-enhanced magnetic resonance angiography demonstrating the double aortic arch with dominant right arch as demonstrated on axial (a), coronal (b), and sagittal planes (c). The axial and sagittal images reveal that the trachea and esophagus are surrounded and compressed by a vascular ring formed by the double aortic arch. The coronal image demonstrates that the right arch is larger and higher in position than left counterpart, which is hypoplastic.

(a)

(b)

(c)