A case report of an extended aortic arch anastomosis for an infant with the persistent fifth aortic arch associated with atresia of the fourth aortic arch.
10.4326/jjcvs.19.351
- VernacularTitle:第４大動脈弓離断を伴う第５大動脈弓遺残にｅｘｔｅｎｄｅｄ ａｏｒｔｉｃ ａｒｃｈ ａｎａｓｔｏｍｏｓｉｓ（ＥＡＡＡ）を施行した１例
- Author:
Hideyuki KAWACHI
;
Yukio WADA
;
Takahiro KAWAI
;
Katsuhiko NISHIYAMA
;
Masafumi ITO
;
Koichi OGA
;
Takahiro OKA
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1989;19(3):351-356
- CountryJapan
- Language:Japanese
-
Abstract:
The persistent fifth aortic arch is rare vascular anomaly. To our knowledge, this is the 24th reported case of the persistent fifth aortic arch. This patient was a 31 days old male infant and had the persistent fifth aortic arch associated with atresia of the fourth aortic arch, patent ductus arteriosus, a double-outlet right ventricle, and a mesocardia. He underwent a fifth aortic arch division and an extended aortic arch anastomosis with a division of ductus arteriosus. There was no blood pressure gradient between upper and lower limbs after the repair. However, no weaning from a cardiopulmonary bypass after the subsequent radical operation for double-outlet right ventricle caused his death.
