Skip to main content Accessibility help
×
Home

Aortic arch advancement for type A interrupted aortic arch with persistent fifth aortic arch type B

  • Ziyad M. Binsalamah (a1), Peter Chen (a1) and Emmett D. McKenzie (a1)

Abstract

Persistence of the fifth aortic arch is a very rare anomaly, but is clinically relevant when it is associated with coarctation. We report a case of a neonate with type A interrupted aortic arch and severe coarctation of a persistent fifth aortic arch, which was discovered after repair of a left congenital diaphragmatic hernia. The combination of anomalies was discovered intra-operatively following left thoracotomy, and was treated with aortic arch advancement. The postoperative course was uneventful.

Copyright

Corresponding author

Correspondence to: Z. M. Binsalamah, Michael E. DeBakey Department of Surgery, Division of Congenital Heart Surgery, Baylor College of Medicine, 6621 Fannin St, MC19345H, Houston, TX 77030, United States of America. Tel: +1 832/623-6145; Fax: +1 832/825-1905; E-mail: zmbinsal@texaschildrens.org

References

Hide All
1. Van Praagh, R, Van Praagh, S. Persistent fifth arterial arch in man. Congenital double-lumen aortic arch. Am J Cardiol 1969; 24: 279282.
2. Culham, JA, Reed, MH. Persistent fifth aortic arch with coarctation of the aorta. Cardiovasc Intervent Radiol 1985; 8: 137139.
3. Gerlis, LM, Ho, SY, Anderson, RH. Persistent 5th aortic arch – a great pretender: three new covert cases. Int J Cardiol 1989; 23: 239247.
4. Gibbin, CL, Midgley, FM, Potter, BM, Martin, GR. Persistent left fifth aortic arch with complex coarctation. Am J Cardiol 1991; 67: 319320.
5. Zhao, YH, Su, ZK, Liu, JF, Cao, DF, Ding, WX. Surgical treatment of persistent fifth aortic arch associated with interrupted aortic arch. Ann Thorac Surg 2007; 84: 10161019.
6. Tittel, P, Kaldararova, M, Olejnik, P, Tittelova, J, Masura, J. Interruption of the fourth aortic arch and a persistent fifth aortic arch with coarctation: a rare morphological finding. Kardiol Pol 2015; 73: 131.
7. Tamayo-Espinosa, T, Erdmenger-Orellana, J, Becerra-Becerra, R, Balderrabano-Saucedo, N, Arévalo-Salas, LA. [Persistent fifth aortic arch with patent ductus arteriosus]. Arch Cardiol Mex 2015; 85: 161163.
8. Valderrama, P, Álvarez, T, Ballesteros, F, Rodríguez, A, Zunzunegui, JL. Coarctation of persistent fifth aortic arch with interrupted fourth arch: first pediatric report of stent intervention. Rev Esp Cardiol (Engl Ed) 2016; 69: 337338.
9. Chiappa, E, Greco, A, Fainardi, V, Passantino, S, Serranti, D, Favilli, S. Aortic arch interruption and persistent fifth aortic arch in phace syndrome: prenatal diagnosis and postnatal course. Echocardiography 2015; 32: 14411443.
10. Khan, S, Nihill, MR. Clinical presentation of persistent 5th aortic arch: 3 new cases. Tex Heart Inst J 2006; 33: 361364.

Keywords

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed