ArticleBMC cardiovascular disorders2024
Echocardiography of persistent fifth aortic arch confirmed by computed tomography angiography or surgery in children: a case series.
Article in BMC cardiovascular disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Rare Variant of a Rare Anomaly: Stenotic Persistent Right-Sided Fifth Aortic Arch with Fourth Arch Interruption.CASE (Philadelphia, Pa.) · 2026Article
- Case Report: Persistent fifth aortic arch with coarctation and fourth aortic arch interruption causing infant heart failure - the prenatal and postnatal echocardiographic course.Frontiers in medicine · 2026Article
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4 authors.
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Abstract
backgroundThe purpose of this study was to review echocardiography-based diagnosis of persistent fifth aortic arch (PFAA) in children.
methodsFrom January 2015 to December 2022, we retrospectively analyzed the echocardiographic findings and the relevant clinical data during follow-up of patients with PFAA who were treated in the Third Affiliated Hospital of Zhengzhou University. The diagnosis was confirmed by computed tomography angiography or surgery.
resultsSeven PFAA cases included two Weinberg type A and five Weinberg type B. The anatomical details of PFAA were assessed using a combination of the long-axis view of the left ventricular outflow tract (from the left high parasternal window) and the long-axis view of the aortic arch (from the suprasternal window). In Weinberg type A, the distal fifth and fourth aortic arches were connected to the descending aorta, which was associated with aortic coarctation. In Weinberg type B, the upper arch of the fourth aorta was interrupted, and only the lower arch of the fifth aorta was connected to the descending aorta. Surgical repair of PFAA was indicated in five patients with blood flow disruption, among which four had good postoperative results and one refused surgery. Two patients with unobstructed PFAA blood flow required follow-up rather than surgery.
conclusionsIt is feasible to diagnose PFAA by echocardiography. Combined application of the high parasternal left ventricular outflow tract view and the suprasternal aortic arch view can improve timely detection of different types of PFAA in children.
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