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J Thorac Cardiovasc Surg 2003;126:1643-1644
© 2003 The American Association for Thoracic Surgery

Brief communications

Isolated persistent fifth aortic arch with systemic-to-pulmonary arterial connection

^a Department of Cardiology, Taoyuan, Taiwan
^b Department of Cardiac Surgery,, Taoyuan, Taiwan Chang Gung Children's Hospital
^c Department of Pediatrics, Taoyuan, Taiwan
^d Department of Surgery, Chang Gung University, Taoyuan, Taiwan

Received for publication April 4, 2003; accepted for publication June 18, 2003.

^* Address for reprints: Wen-Jen Su, MD, Department of Cardiology, Chang Gung Children's Hospital, 5-7 Fu-Shin Street, Kweishan, Taoyuan 333, Taiwan
hwaien2003@yahoo.com.tw

The first 20% of the full text of this article appears below.

Persistent fifth aortic arch (PFAA) is thought to be an extremely rare congenital heart disease (CHD). All previously reported cases were associated with major cardiac anomalies and diagnosed coincidentally.¹ Moreover, its presence was usually beneficial to the associated cardiac anomalies. We report here a unique case of isolated PFAA (without associated cardiac anomaly) with systemic-to-pulmonary arterial connection, which caused severe congestive heart failure (CHF) in a 2-month-old male infant.

Clinical summary

A 2-month-old male infant weighing 3940 g was referred to our hospital for evaluation of a suspected atypical huge patent ductus arteriosus (PDA). He was the product of a 39-week gestation with a birth weight of 3480 g. He presented with severe CHF and failure to thrive. Chest radiographs revealed marked cardiomegaly, increased pulmonary . . . [Full Text of this Article]

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				R. Subramanyan, A. Sahayaraj, P. Sekar, and K. M. Cherian Persistent fifth aortic arch J. Thorac. Cardiovasc. Surg., June 1, 2010; 139(6): e117 - e118. [Full Text] [PDF]