Persistencia del quinto arco aórtico asociado a persistencia del conducto arterioso

Tamayo-Espinosa, Tania; Erdmenger-Orellana, Julio; Becerra-Becerra, Rosario; Balderrabano-Saucedo, Norma; Arévalo-Salas, Luis Alexis

doi:10.1016/j.acmx.2014.09.004

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…PFAA is rarely an isolated anomaly, and the arch malformation is usually associated with other CHD, such as IAA, ventricular septal defect (VSD), coarctation of aorta (CoA), patent ductus arteriosus (PDA), tetralogy of fallot (TOF), tricuspid atresia (TA), transposition of the great arteries (TGA), aortic atresia (AA), pulmonary atresia (PA), or descending aortic aneurysm. [ 16 – 20 ] Therefore, diagnoses of PFAA may be difficult or delayed. Case 10 (type C) was initially incorrectly diagnosed as APW.…”

Section: Discussionmentioning

confidence: 99%

Assessment of persistent fifth aortic arch by echocardiography and computed tomography angiography

Yang

Zhu

et al. 2020

Medicine

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To evaluate the utility of echocardiography (echo) in the diagnosis of persistent fifth aortic arch (PFAA), a very rare congenital aortic arch anomaly, and to compare echo and computed tomography angiography (CTA) imaging findings to improve our understanding of this anomaly. Data on the clinical diagnosis, imaging findings, and clinical management of PFAA were retrospectively analyzed in 10 suspected cases of PFAA admitted to our hospital between January 2012 and February 2017. We compared echo as a first line examination modality, and CTA and surgery results as the gold standard. Weinberg's classification was used to classify the type of PFAA. All patients (100%) received echo examination, eight patients (80%) received CTA examination, and four patients (40%) received sternotomy surgery; all recovered well after surgery. According to Weinberg's classification, 2, 6, and 2 cases (20%, 60%, and 20%) were classified as Type A, B, and C, respectively. Echo was able to diagnose 5 cases of PFAA (1 Type A case and 4 Type B cases) in the first instance. The diagnostic conformance rate of echo was 62.5% after comparisons with CTA and surgery results. The clinical manifestation of PFAA was atypical, and its diagnosis depended primarily on medical imaging. Echo has a relatively high diagnostic accuracy for PFAA, which is very valuable for its early detection.

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Section: Discussionmentioning

confidence: 99%

Assessment of persistent fifth aortic arch by echocardiography and computed tomography angiography

Yang

Zhu

et al. 2020

Medicine

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“…1 Several studies have described the arch and its presentation and management. [1][2][3][4][5][6][7][8][9] It becomes clinically relevant when it is associated with coarctation or interruption of the true aortic arch. Intra-operative discovery of the anomaly led to an unusual but successful approach for repair.…”

Section: Introductionmentioning

confidence: 99%

Aortic arch advancement for type A interrupted aortic arch with persistent fifth aortic arch type B

2017

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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.

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Persistent fifth aortic arch: a single-center experience, case series

Liu¹,

Zhang²,

Cao³

et al. 2021

Transl Pediatr

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Background: Persistent fifth aortic arch (PFAA) is an extremely rare congenital cardiovascular malformation and there is limited data in the literature. The objective of this study is to enhance our understanding and diagnosis of PFAA from echocardiography and computed tomography angiography (CTA) findings, and to evaluate the application of echocardiography in the diagnosis of PFAA.Methods: We retrospectively reviewed five cases of PFAA diagnosed from October 2016 to September 2019 at the Affiliated Children's Hospital of Capital Institute of Pediatrics. We described their diagnosis by echocardiography and CTA findings, and medical history.Results: Five cases of PFAA were identified in the study. Patients aged from 3 to 48 months and weighed from 4 to 12 kg presented different clinical symptoms upon clinical examination. All the patients completed a primary echocardiographic assessment; however, the first two patients were misdiagnosed by echocardiography and was confirmed by supplemental CTA while the other three patients were directly diagnosed by echocardiography. Surgery was necessary for three patients, two of whom accepted and one refused. The other two patients only needed a follow-up assessment, which showed good results. Conclusions:The clinical manifestation of PFAA in our patient population was atypical, and their diagnosis depended on the use of echocardiography. In the case of uncertainty, the final diagnosis was confirmed by CTA. Although the nomenclature and embryonic origin of PFAA remains controversial, the accurate diagnosis of aortic arch abnormalities and associated malformations are imperative for time-sensitive treatments.

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Persistencia del quinto arco aórtico asociado a persistencia del conducto arterioso

Abstract: Persistent fifth aortic arch is a rare congenital vascular anomaly, with no clinical impact, so diagnosis is usually an incidental finding occasionally associated with other congenital heart defects. We report a case of persistent fifth aortic arch associated with patent ductus arteriosus.

Cited by 3 publications

References 5 publications

Assessment of persistent fifth aortic arch by echocardiography and computed tomography angiography

Assessment of persistent fifth aortic arch by echocardiography and computed tomography angiography

Aortic arch advancement for type A interrupted aortic arch with persistent fifth aortic arch type B

Persistent fifth aortic arch: a single-center experience, case series

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