Persistent fifth aortic arch. A report of two new cases and a review of the literature

Gerlis, Leon M.; Dickinson, D F; Wilson, Neil; Gibbs, John L.

doi:10.1016/0167-5273(87)90250-6

Cited by 54 publications

(25 citation statements)

References 6 publications

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“…One key point is that as there was a leftsided aortic arch in our case, a right ductal artery would have to be connected to the right subclavian artery. The only possible pathway of communication between the ascending aorta and the pulmonary artery would therefore correspond to a systemic-to-pulmonary type PFAA [4]. An aortopulmonary window may be differentiated from PFAA as it is characterized by an opening between the main pulmonary trunk without any length to the communicating channel.…”

Section: Discussionmentioning

confidence: 99%

Type III persistent fifth aortic arch in association with transposition of great arteries and pulmonary atresia—An unreported case

Lee

Chiu

Dai

et al. 2007

International Journal of Cardiology

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Section: Discussionmentioning

confidence: 99%

Type III persistent fifth aortic arch in association with transposition of great arteries and pulmonary atresia—An unreported case

Lee

Chiu

Dai

et al. 2007

International Journal of Cardiology

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“…Only one case of pulmonary-to-systemic connection in which the fifth aortic arch was a source of systemic flow has been described in the setting of aortic atresia with interruption of the aortic arch [7]. No case of pulmonary atresia and VSD with ventriculoarterial concordance has been reported in association with a systemic-to-systemic connection; only two cases have been described in association with ventriculoarterial discordance [6,8].…”

Section: Case Reportmentioning

confidence: 95%

Persistent Left Fifth Aortic Arch Associated with Tetralogy of Fallot

et al. 1997

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A case of persistent left fifth aortic arch, forming a congenital "double-lumen" aortic arch, has been diagnosed on angiocardiography during life. It appeared as an unusual vascular structure running inferiorly and parallel to the "real" aortic arch from the innominate artery to the left subclavian artery superior to the pulmonary artery. This anomaly was found in the setting of tetralogy of Fallot, an association never described before, with patent ductus arteriosus (previously reported in most cases). The left aortic arch in this case was not a source of pulmonary circulation, as described in previous cases with pulmonary atresia and ventricular septal defect, but was a systemic-to-systemic connection without functional relevance.

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“…The primitive fifth aortic arches are rudimentary vessels that quickly degenerate in approximately half of embryos, whereas in others these arteries do not develop at all (53). However, rarely, a primitive fifth arch may persist, located below the fourth arch (Fig 16).…”

Section: Persistent Fifth Aortic Archmentioning

confidence: 99%

Congenital Variants and Anomalies of the Aortic Arch

Hanneman¹,

Newman²,

Chan³

2017

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Congenital variants and anomalies of the aortic arch are important to recognize as they may be associated with vascular rings, congenital heart disease, and chromosomal abnormalities, and can have important implications for prognosis and management. The purpose of this article is to review cross-sectional imaging techniques used in the evaluation of the aortic arch, describe the embryology and anatomy of the aortic arch system, discuss aortic arch variants and anomalies, and review other malformations of the aortic arch, including interrupted aortic arch, hypoplastic aortic arch, and aortic coarctation. Aortic arch variants and anomalies will be reviewed in the context of a theoretical double aortic arch system. Arch anomalies can be associated with symptoms, such as dysphagia lusoria in the setting of left aortic arch with aberrant right subclavian artery. Arch variants that form a vascular ring, such as double aortic arch, can result in respiratory distress due to tracheal compression. Certain arch anomalies are strongly associated with congenital heart disease, including right aortic arch with mirror image branching. Other malformations of the aortic arch have important associations, such as type B interrupted aortic arch, which is associated with a locus 22q11.2 microdeletion. Noninvasive imaging at CT angiography and MR angiography allows for comprehensive evaluation of the aortic arch and branch vessels in relation to surrounding structures. Familiarity with the spectrum and imaging appearances of aortic arch variants, anomalies, and malformations is essential for accurate diagnosis and classification and to guide management. Online supplemental material is available for this article. RSNA, 2016.

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Persistent fifth aortic arch. A report of two new cases and a review of the literature

Cited by 54 publications

References 6 publications

Type III persistent fifth aortic arch in association with transposition of great arteries and pulmonary atresia—An unreported case

Type III persistent fifth aortic arch in association with transposition of great arteries and pulmonary atresia—An unreported case

Persistent Left Fifth Aortic Arch Associated with Tetralogy of Fallot

Congenital Variants and Anomalies of the Aortic Arch

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