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Persistent left sided fifth aortic arch in a neonate.

A Cabrera, J Galdeano, I Lekuona

    British Heart Journal
    |July 1, 1985
    PubMed
    Summary
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    A newborn infant with a rare aortic arch anomaly underwent successful surgical repair using the persistent fifth aortic arch. Five years post-surgery, the child shows normal circulation and no heart murmurs, indicating a positive long-term outcome.

    Area of Science:

    • Cardiovascular Surgery
    • Pediatric Cardiology
    • Congenital Heart Defects

    Background:

    • Congenital heart defects require timely diagnosis and intervention.
    • A persistent fifth aortic arch is a rare anomaly.
    • Coarctation of the aorta presents significant surgical challenges.

    Observation:

    • A newborn presented with a persistent left-sided fifth aortic arch.
    • The infant also had coarctation of the aorta and a persistent ductus arteriosus.
    • These complex anomalies were identified shortly after birth.

    Findings:

    • Surgical repair was performed utilizing the persistent fifth aortic arch to correct the coarctation.
    • The persistent ductus arteriosus was also addressed during the procedure.

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  • The surgical approach was successful in reconstructing aortic arch anatomy.

    • Implications:

    • This case demonstrates a novel surgical technique for complex aortic arch anomalies.
    • Successful repair in infancy suggests potential for excellent long-term outcomes.
    • The use of anomalous arch structures offers innovative solutions in pediatric cardiac surgery.