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      Persistent Fifth Aortic Arch with Coarctation

      case-report

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          Abstract

          Persistent fifth aortic arch (PFAA) is a rare congenital anomaly of the aortic arch frequently associated with other cardiovascular anomalies, such as tetralogy of Fallot and aortic arch coarctation or interruption. We report the case of a neonate with PFAA with coarctation who successfully underwent surgical repair.

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          Most cited references7

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          Persistent fifth arterial arch in man. Congenital double-lumen aortic arch.

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            Double-lumen aortic arch by persistence of fifth aortic arch: A new case associated with coarctation.

            A coarctation of aorta with double-lumen aortic arch due to persistence of an embryonic fifth aortic arch was recognized in a 13-day-old girl and successfully repaired using enlargement of the aorta by side-to-side anastomosis of the fourth and fifth aortic arches.
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              Surgical treatment of persistent fifth aortic arch associated with interrupted aortic arch.

              This study describes two cases of the rare congenital anomaly, persistent fifth aortic arch. Both cases involve boys (1 at 9 years of age and another at 7 months of age). To detect persistent fifth aortic arch with interrupted aortic arch, the following methods were used: echocardiogram, angiocardiography, and magnetic resonance imaging. In both cases the blood pressure between the upper and lower limbs differed. To relieve the obstruction of blood flow, each case was surgically repaired using patching or conduit interposition. Postoperative courses were uneventful. Two-year to 5-year follow-up examinations were positive showing that the anastomosis was unobstructed and the velocity of blood flow to the descending aorta was normal.
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                Author and article information

                Journal
                Korean J Thorac Cardiovasc Surg
                Korean J Thorac Cardiovasc Surg
                The Korean Journal of Thoracic and Cardiovascular Surgery
                The Korean Society for Thoracic and Cardiovascular Surgery
                2233-601X
                2093-6516
                February 2016
                05 February 2016
                : 49
                : 1
                : 39-41
                Affiliations
                Department of Thoracic and Cardiovascular Surgery, Seoul National University Children’s Hospital, Seoul National University College of Medicine
                Author notes
                Corresponding author:Woong-Han Kim, Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 03080, Korea, (Tel) 82-2-2072-3637 (Fax) 82-2-3672-3637 (E-mail) woonghan@ 123456snu.ac.kr
                Article
                kjtcv-49-039
                10.5090/kjtcs.2016.49.1.39
                4757396
                26889445
                85e44fdd-9add-4535-99b6-3e79aad9cd18
                Copyright © 2016 by The Korean Society for Thoracic and Cardiovascular Surgery. All rights Reserved.

                This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 11 November 2014
                : 22 March 2015
                : 07 April 2015
                Categories
                Case Report

                Surgery
                aorta, arch,coarctation
                Surgery
                aorta, arch, coarctation

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