title: Aortic arch advancement for type A interrupted aortic arch with persistent fifth aortic arch type B.
abstract: Persistence of the fifth aortic arch is a very rare anomaly, but is clinically relevant when it is associated with coarctation. We report a case of a neonate with type A interrupted aortic arch and severe coarctation of a persistent fifth aortic arch, which was discovered after repair of a left congenital diaphragmatic hernia. The combination of anomalies was discovered intra-operatively following left thoracotomy, and was treated with aortic arch advancement. The postoperative course was uneventful.
authors.affiliation: Michael E. DeBakey Department of Surgery,Division of Congenital Heart Surgery,Baylor College of Medicine,Houston,Texas,United States of America.
authors.forename: Ziyad M
authors.initials: ZM
authors.lastname: Binsalamah
authors.affiliation: Michael E. DeBakey Department of Surgery,Division of Congenital Heart Surgery,Baylor College of Medicine,Houston,Texas,United States of America.
authors.forename: Peter
authors.initials: P
authors.lastname: Chen
authors.affiliation: Michael E. DeBakey Department of Surgery,Division of Congenital Heart Surgery,Baylor College of Medicine,Houston,Texas,United States of America.
authors.forename: Emmett D
authors.initials: ED
authors.lastname: McKenzie
mesh_terms: D001013:Aorta, Thoracic / Q000002:abnormalities*; D001017:Aortic Coarctation / Q000000981:diagnostic imaging* / Q000601:surgery*; D004452:Echocardiography; D005260:Female; D065630:Hernias, Diaphragmatic, Congenital / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed
keywords: Coarctation; aortic arch advancement; interrupted aortic arch; left thoracotomy; neonate