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Case Reports in Pediatrics
Volume 2016, Article ID 8475917, 3 pages
Case Report

ALTE and Feeding Intolerance as a Presentation of Double Aortic Arch

Department of Pediatrics at the Children’s Hospital of Los Angeles, Los Angeles, CA, USA

Received 8 July 2016; Accepted 29 August 2016

Academic Editor: Carmelo Romeo

Copyright © 2016 Rekha Krishnasarma et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.