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Persistent fifth aortic arch stenosis associated with type A interruption of the aortic arch: a report of six cases

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To the Editor:Persistent fifth aortic arch (PFAA) is a rare congenital cardiovascular malformation that occurs when the pharyngeal fifth aortic arch does not degenerate during the embryonic period.The first case of PFAA was described in an autopsy specimen in 1969.[1] In 1973,the persistence of a left fifth aortic arch was first reported.[2] Since then,several case reports have described PFAA in different forms.PFAA stenosis associated with type A interruption of the aortic arch (type-A IAA) is most common in clinical practice and requires surgical intervention.From 2013 to 2018,six cases [Tables 1 and 2] were diagnosed using echocardiography and computed tomography angiography (CTA).Five cases were successfully treated with surgery and followed-up.The purpose of this study was to summarize the clinical characteristics and diagnostic features of PFAA stenosis associated with type-A IAA to improve its diagnostic accuracy and allow for complete pre-operative preparation and proper treatment.

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作者单位: Department of Echocardiography, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China [1] Department of Radiology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China [2] Department of Cardiac Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China [3]
期刊: 《中华医学杂志(英文版)》2019年132卷12期 1482-1484页 SCIMEDLINEISTICCSCDBP
栏目名称: Correspondence
DOI: 10.1097/CM9.0000000000000278
发布时间: 2019-07-24
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