{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T09:04:41Z","timestamp":1784019881635,"version":"3.55.0"},"reference-count":4,"publisher":"MDPI AG","issue":"14","license":[{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Double aortic arches are rare congenital malformations resulting from persistence of the right and left aortic arches, as opposed to normal regression of the left aortic arch. These vascular malformations can cause vascular rings since they encompass the trachea and esophagus, and lead to swallowing difficulties or respiratory difficulties from extrinsic compression. Typically, these are diagnosed in childhood but rarely may present in adults. In the presence of symptoms, which require formal gastrointestinal and pulmonary evaluation, surgical resection of the nondominant arch is typically recommended to release the vascular ring. Monitoring of the carotid and subclavian vasculature is performed intraoperatively to ensure distal perfusion is not affected following distal ligation of the arch.<\/jats:p>","DOI":"10.3390\/diagnostics16142188","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T08:04:31Z","timestamp":1784016271000},"page":"2188","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cHeart Sign\u201d with Double Aortic Arch"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1961-2782","authenticated-orcid":false,"given":"Michael Scott","family":"Binder","sequence":"first","affiliation":[{"name":"Mayo Clinic, Rochester, NY 55901, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5472-6689","authenticated-orcid":false,"given":"David","family":"Majdalany","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Rochester, NY 55901, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,14]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"107057","DOI":"10.1016\/j.jaccas.2026.107057","article-title":"Double Aortic Arch: A Case Series and Multidisciplinary Surgical Experience","volume":"31","author":"Kanbar","year":"2026","journal-title":"JACC Case Rep."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1186\/s13019-019-0976-x","article-title":"Diagnosis and surgical repair of congenital double aortic arch in infants","volume":"14","author":"Yang","year":"2019","journal-title":"J. Cardiothorac. Surg."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1744","DOI":"10.1016\/j.jpedsurg.2023.02.058","article-title":"Post-operative Outcomes for Vascular Rings: A Systematic Review and Meta-analysis","volume":"58","author":"Rato","year":"2023","journal-title":"J. Pediatr. Surg."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1269","DOI":"10.1007\/s00404-023-06951-8","article-title":"How to do a fetal cardiac scan","volume":"307","author":"Quaresima","year":"2023","journal-title":"Arch. Gynecol. Obstet."}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/16\/14\/2188\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T08:12:11Z","timestamp":1784016731000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/16\/14\/2188"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,14]]},"references-count":4,"journal-issue":{"issue":"14","published-online":{"date-parts":[[2026,7]]}},"alternative-id":["diagnostics16142188"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics16142188","relation":{},"ISSN":["2075-4418"],"issn-type":[{"value":"2075-4418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,14]]}}}