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Interrupted fourth aortic arch with persistent fifth aortic arch and aortic coarctation—treatment with balloon angioplasty combined with surgery

Published online by Cambridge University Press:  19 August 2008

Raul Jurí
Affiliation:
From the Divisions of Cardiology and Cardiovascular Surgery, Hospital de Niños, Cordoba
Luis Eduardo Alday*
Affiliation:
From the Divisions of Cardiology and Cardiovascular Surgery, Hospital de Niños, Cordoba
Roberto De Rossi
Affiliation:
From the Divisions of Cardiology and Cardiovascular Surgery, Hospital de Niños, Cordoba
*
Dr. Luis Eduardo Alday, Division of Cardiology, Hospital de Nifios. Boulevard Chacabuco 1016, 5000 Cordoba, Argentina. Tel. (051) 60-6920; Fax. (54) 51-69-3749.

Abstract

A symptomatic neonate was referred for aortic coarctation and, at cineangiography, was shown to have an interruption of the aortic arch at the isthmus together with coarctation related to a persistent fifth aortic arch. Balloon dilation of the coarctation was performed, but the coarctation was still evident after six months. A graft was then interposed between the left subclavian artery and the descending aorta. Balloon dilation was repeated five years later leaving a residual gradient of 11 mm Hg.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 1994

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