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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 ,
Luis Eduardo Alday  and
Roberto De Rossi
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.
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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.

Keywords

Persistent fifth aortic archinterrupted aortic archcoarctation of the aorta
Type
Brief Reports
Information
Cardiology in the Young , Volume 4 , Issue 3 , July 1994 , pp. 304 - 306
Copyright
Copyright © Cambridge University Press 1994

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References

Izukawa, T, Scott, ME, Durrani, F, Moes, CAF.Persistent left fifth aortic arch in man. Report of two cases. Br Heart J 1973; 35: 1190–1195.CrossRefGoogle ScholarPubMed
Macartney, FJ, Scott, O, Deverall, PB.Haemodynamic and anatomical characteristics of pulmonary blood supply in pulmonary atresia with ventricular septal defect, including a case of persistent fifth aorti carch. Br Heart J 1974; 36: 1049–1060.Google Scholar
Lawrence, TYK, Stiles, QR.Persistent fifth aortic arch in man. Am J Dis Child 1975; 129: 1229–1231.Google Scholar
Konishi, T, Lizima, T, Onai, K, Kobayashi, G, Kawabe, M, Anzai, T.Persistent fifth aortic arch complicated by coarctation of the aorta and aneurysm of left subclavian artery. J Jpn Assoc Thorac Surg 1981; 29: 1243–1248.Google Scholar
Cabrera, A, Galdeano, J, Lekuona, I.Persistent left sided fifth aortic arch in a neonate. Br Heart J 1985; 54: 105–106.CrossRefGoogle ScholarPubMed
Herrera, MA, D'Souza, VJ, Link, KKM, Weesner, KM, Formanek, A.A persistent fifth aortic arch in man: A double-lumen aorticarch (presentation of a new case and review of the literature). Pediatr Cardiol 1987; 8: 265–269.Google Scholar
Da Costa, AG, Iwahashi, ER, Atik, E, Rati, MAN, Ebaid, M.Persistence of hypoplastic and recoarcted fifth aortic arch associated with type A aortic arch interruption: Surgical and balloon angioplasry results in an infant. Pediatr Cardiol 1992; 13: 104–106.CrossRefGoogle ScholarPubMed
Van Praagh, R, Van Praagh, S.Persistent fifth arterial arch in man. Congenital double-lumen aortic arch. Am J Cardiol 1969; 24: 279–282.Google Scholar
Lock, JE, Bass, JL, Amplatz, K, Fuhrman, BP, Castañeda-Zuniga, W.Balloon dilation angioplasry of aortic coarctations in infants and children. Circulation 1983; 68: 109–116.CrossRefGoogle ScholarPubMed
Gerlis, LM, Dickinson, DF, Wilson, N, Gibbs, JL.Persistent fifth aortic arch. A report of two new cases and review of the literature. Int J Cardiol 1987; 16: 185–192.CrossRefGoogle ScholarPubMed
Gerlis, LM, Ho, SY.Anderson, RH.Da Costa, P.Persistent fifth aortic arch. A great pretender: three new covert cases. Int J Cardiol 1989; 23: 239–247.Google Scholar
Geva, T, Ray, RA, Santini, F, Van Praagh, S, Van Praagh, R.Asymptomatic persistent fifth aortic arch (congenital double-lumen aortic arch) in an adult. Am J Cardiol 1990; 65: 1406–1407.CrossRefGoogle ScholarPubMed