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Abstract
A ten-day old baby was found to have tricuspid and pulmonary atresia, and a “ductal-dependent”
pulmonary circulation that was prostaglandin-sensitive. An unusual coarctation of
the aorta was not recognised until an autopsy was performed, some 11 days after construction
of an aortopulmonary shunt. A previously undefined anomaly in this neonate was persistence
of the fifth aortic arch with a systemic-to-pulmonary artery connection on the same
side as the definitive aorta. The histology of the fifth aortic arch is consistent
with the pattern of an arterial duct.
Keywords
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References
- The morphology of the human newborn ductus arteriosus: a reappraisal of its structure and closure with special reference to prostaglandin E1 therapy.Human Pathol. 1981; 12: 1123-1136
- Severe pulmonary stenosis and duct dependent coarctation in a neonate. An embryologic impossibility?.Int J Cardiol. 1987; 14: 103-106
- Persistent fifth aortic arch. A report of two new cases and a review of the literature.Int J Cardiol. 1987; 16: 185-192
- Persistent fifth arterial arch in man. Congenital double lumen aortic arch.Am J Cardiol. 1969; 24: 279-282
- Transformation of the aortic-arch system during the development of the human embryo.Carnegie Institute of Washington Publication 277. 1922; (Contributions to Embryology. 14): 47-110
Article info
Publication history
Accepted:
February 8,
1989
Received:
September 1,
1988
Identification
Copyright
© 1989 Published by Elsevier Inc.
