Persistence of hypoplastic and recoarcted fifth aortic arch associated with type A aortic arch interruption: surgical and balloon angioplasty results in an infant.
A rare aortic malformation, the persistence of the fifth aortic arch (PFAA) associated with coarctation of the aorta, is reported in a 3-month-old male infant who underwent an emergency surgical intervention at 10 days of life, to relieve a severe aortic coarctation by pericardial patch technique. A successful balloon angioplasty was performed 2 months later eliminating a recoarctation. The gradient fell from 77 mmHg to 0, but a definitive surgical intervention for recoarctation was necessary 14 months after angioplasty.
Da Costa
A G
AG
Paediatric Cardiology Department of Heart Institute, University of São Paulo, Brazil.
Iwahashi
E R
ER
Atik
E
E
Rati
M A
MA
Ebaid
M
M
D000800:Angioplasty, Balloon; D001015:Aortic Arch Syndromes / Q000151:congenital* / Q000000981:diagnostic imaging / Q000601:surgery; D001017:Aortic Coarctation / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D003131:Combined Modality Therapy; D006801:Humans; D007223:Infant; D008297:Male