Binsalamah Ziyad M, Chen Peter, McKenzie Emmett D
Michael E. DeBakey Department of Surgery,Division of Congenital Heart Surgery,Baylor College of Medicine,Houston,Texas,United States of America.
Cardiol Young. 2017 Jul;27(5):1018-1021. doi: 10.1017/S1047951117000051. Epub 2017 Mar 6.
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.
第五主动脉弓持续存在是一种非常罕见的异常情况，但当它与主动脉缩窄相关时具有临床意义。我们报告一例患有A型主动脉弓中断和持续存在的第五主动脉弓严重缩窄的新生儿病例，该病例是在左侧先天性膈疝修补术后发现的。这些异常情况的组合是在左侧开胸术后术中发现的，并采用主动脉弓推进术进行治疗。术后过程顺利。
