Stridor at birth: a diagnostic dilemma

Stridor is a common complaint in neonates. Double aortic arch (DAA) is a congenital anomaly of the aortic arch. It is the most common type of complete vascular ring. When it occurs, the connected segment of the aortic arch and its branches encircle the trachea and esophagus, leading to symptoms related to these two structures. Association with respiratory distress mandates early flexible bronchoscopic examination of the airway. We report here the diagnosis and management of a neonate with double aortic arch that presented as stridor at birth. Persistence of stridor after surgery and its management was highlighted.