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Coarctation of persistent right fifth aortic arch and pulmonary sequestration

Published online by Cambridge University Press:  19 August 2008

Hideshi Tomita ,
Shigeto Fuse  and
Shunzo Chiba
Hideshi Tomita*
Affiliation:
Department of Pediatrics, School of Medicine, Sapporo Medical University, Sapporo, Hokkaido, Japan
Shigeto Fuse
Affiliation:
Department of Pediatrics, School of Medicine, Sapporo Medical University, Sapporo, Hokkaido, Japan
Shunzo Chiba
Affiliation:
Department of Pediatrics, School of Medicine, Sapporo Medical University, Sapporo, Hokkaido, Japan
*
Hideshi Tomita, MD, Department of Pediatrics, School of Medicine, Sapporo Medical University, South 1, West 16, Chuo-ku, Sapporo 060, Japan. Tel: 11 8111 611 211 l(Ext. 3413); Fax: 11 8111 611 0352
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Abstract

A 41-day-old boy was transferred to our department with severe congestive heart failure. Digital subtraction counter current aortography, and antegrade aortography, revealed coarctation of a persistent right fifth aortic arch, stenosis of the origin of an aberrant left subclavian artery, and sequestration of the lower lobe of the right lung.

As his heart failure seemed to be caused not only by pressure overload to the left ventricle following coarctation, but also by the volume load associated with the shunting effect of the pulmonary sequestration, we performed transcatheter balloon dilation of the coarctation and the origin of the aberrant subclavian artery, together with embolization of the aberrant pulmonary artery. His heart failure responded dramatically to these procedures.

Keywords

Fifth aortic archcoarctationpulmonary sequestrationinterventional catheterization
Type
Brief Reports
Information
Cardiology in the Young , Volume 8 , Issue 4 , October 1998 , pp. 509 - 511
Copyright
Copyright © Cambridge University Press 1998

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