Isolated persistence of the fifth aortic arch in an infant presenting with congestive heart failure

We present a unique case of a 5-week-old patient with an isolated PFAA with systemic-to-pulmonary connection, who presented with congestive heart failure. A first differential diagnosis was made with distal aortopulmonary window and an atypical patent arterial duct. A careful analysis of the case and a systematic review of the literature made us conclude for an isolated PFAA, which is one of the only five cases ever reported.

Source: Annals of Pediatric Cardiology - January 8, 2020 Category: Cardiology Authors: Giovanni Meliota Maristella Lombardi Pierluigi Zaza Maria Rosaria Tagliente Paolo Versacci Gabriele Scalzo Ugo Vairo Source Type: research