Persistence of hypoplastic and recoarcted fifth aortic arch associated with type A aortic arch interruption: Surgical and balloon angioplasty results in an infant
- 42 Downloads
A rare aortic malformation, the persistence of the fifth aortic arch (PFAA) associated with coarctation of the aorta, is reported in a 3-month-old male infant who underwent an emergency surgical intervention at 10 days of life, to relieve a severe aortic coarctation by pericardial patch technique.
A successful balloon angioplasty was performed 2 months later eliminating a recoarctation. The gradient fell from 77 mmHg to 0, but a definitive surgical intervention for recoarctation was necessary 14 months after angioplasty.
Key WordsPersistent fifth aortic arch Type A aortic interruption Balloon angioplasty Aortic coarctation
Unable to display preview. Download preview PDF.
- 1.Cabrera A, Galdeano J, Lekunoa I (1985) Persistent left sided fifth aortic arch in neonate.Br Heart J 54:105–106Google Scholar
- 2.Culham JAG, Reed MH (1985) Persistent fifth aortic arch with coarctation of aorta.Cardiovasc Intervent Radiol 8:137–139Google Scholar
- 3.Diaz-Góngora G, Quero-Jiménez M, Varón H, Cabrera C, Cabrera R (1983) Persistencia del quinto arco aortico.Rev Latina Cardiol 4:429–434Google Scholar
- 4.Herrera MA, D'Souza VJ, Link KM, Weesner KM, Formanek AG (1987) A persistent fifth aortic arch in man: A double lumen aortic arch (presentation of a new case and review of literature).Pediatr Cardiol 8:265–269Google Scholar
- 5.Izukawa T, Scott ME, Durrani F, Moes CAF (1973) Persistent left fifth aortic arch in man. Report of two cases.Br Heart J 35:1190–176Google Scholar
- 6.Konishi T, Lizima T, Onai K, Kobayashi G, Kawabe M, Anzai T (1981) Persistent fifth aortic arch complicated by coarctation of the aorta and aneurysm of left subclavian artery.J Jpn Assoc Thorac Surg 29:1243–1248Google Scholar
- 7.Laurence T-YK, Stiles QR (1975) Persistent fifth aortic arch in man.Am J Dis Child 129:1229–1231Google Scholar
- 8.Macartney FJ, Scott O, Deverall PB (1974) Haemodynamic and anatomical characteristics of pulmonary blood supply in pulmonary atresia with ventricular septal defect — including a case of persistent fifth aortic arch.Br Heart J 36:1049–1060Google Scholar
- 9.Tynan M (1987) Coarctation and interrupted aortic arch. In: Anderson RH, Shinebourne EA, Macartney FJ, Tynan M (eds)Paediatric Cardiology 1987. Churchill Livingstone, London, pp 1103–1104Google Scholar
- 10.Moes CAF, Izukawa T (1974) Persistent fifth arterial arch. Diagnosis during life, with postmortem confirmation.Radiology 111:175–176Google Scholar
- 11.Rao PS (1989) Balloon angioplasty and valvuloplasty in infant, children, and adolescents.Curr Probl Cardiol 14:429–432Google Scholar
- 12.Roger N, Ruckman (1989) Anomalies of aortic arch complex. In: Forrest NA, George CE, Thomas AR (eds)Moss: Heart disease in infants, children and adolescents, 4th edn. Williams & Wilkins, Maryland, pp 259, 270Google Scholar
- 13.Van Praagh R, Van Praagh S (1969) Persistent fifth arterial arch in man. Congenital double lumen aortic arch.Am J Cardiol 24:279–282Google Scholar