Isolated persistence of the fifth aortic arch in an infant presenting with congestive heart failure

Meliota, Giovanni; Lombardi, M.; Zaza, Pierluigi; Tagliente, Maria Rosaria; Versacci, Paolo; Scalzo, Gabriele; Vairo, Ugo

doi:10.4103/apc.apc_53_19

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Clinical Symptoms and Complications1

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2023

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“…Interestingly, for some patients with PFAA who are associated with PA, the presence of PFAA can be beneficial, as the fifth arch serves as an important system for pulmonary shunt ( 31 , 33 ). However, severe cases may result in congestive heart failure, cardiogenic shock, and multiorgan failure ( 35 , 44 ). For instance, Sinha et al ( 33 ) reported the case of a 2-month-old boy with Weinberg type C PFAA who had a VSD and PA.…”

Section: Clinical Symptoms and Complicationsmentioning

confidence: 99%

Persistent fifth aortic arch: a comprehensive literature review

Huang

Zheng

et al. 2023

Front. Pediatr.

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Persistent fifth aortic arch (PFAA) is an extremely rare congenital cardiovascular anomaly resulting from the failure of the fifth aortic arch to degenerate during embryonic development; it is often associated with various other cardiovascular anomalies. Despite being first reported by Van Praagh in 1969, there have been only a few individual case reports. Owing to its rarity and lack of comprehensive understanding, PFAA is often misdiagnosed or missed diagnosed during clinical. Thus, this review aimed to summarise the embryonic development, pathological classification, imaging diagnosis, and clinical treatment of PFAA to improve its overall understanding, ultimately helping in accurate diagnosis and treatment.

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