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Persistent fifth aortic arch associated with type A aortic arch interruption. Histological study and morphogenesis.

N Atsumi1, N Moriki, Y Sakakibara

  • 1Department of Surgery, Institute of Clinical Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan.

The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai Zasshi
|September 13, 2001
PubMed
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A male infant with a persistent fifth aortic arch and aortic interruption underwent successful surgery. Histology revealed ductal tissue caused narrowing, not occlusion, in the aortic arch anomalies.

Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Developmental Biology

Background:

  • Congenital heart defects involving aortic arch anomalies require precise diagnosis and surgical intervention.
  • Persistent fifth aortic arch and interrupted aorta are rare but critical conditions in neonates.

Observation:

  • A male infant presented with a persistent fifth aortic arch and interruption of the aorta distal to the left subclavian artery.
  • Surgical treatment was successfully performed for this complex congenital anomaly.

Findings:

  • Histological examination of the excised aortic segment revealed ductal tissue extending to the junction of the fifth aortic arch and descending aorta.
  • This extension resulted in significant narrowing at that specific aortic region.
  • The ductal tissue was not implicated in the occlusion of the fourth aortic arch.

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Implications:

  • Understanding the histological basis of aortic arch anomalies aids in surgical planning and outcomes.
  • This case highlights the importance of detailed histological analysis in elucidating the morphogenesis of complex cardiovascular malformations.
  • Further research into the developmental pathways can improve the management of similar pediatric cardiac conditions.