Pulmonary blood supply by a branch from the distal ascending aorta in pulmonary atresia with ventricular septal defect: differential diagnosis of fifth aortic arch

Pediatr Cardiol. 1993 Oct;14(4):230-3. doi: 10.1007/BF00795377.

Abstract

A patient with pulmonary atresia and a ventricular septal defect is described in whom an arterial branch from the distal ascending aorta supplied segments of both lungs. The branch is considered to represent a persistent fifth aortic arch. The possible morphogenesis and differential diagnosis of a communication between the ascending aorta and the pulmonary artery in pulmonary atresia with ventricular septal defect are discussed.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Aorta / abnormalities*
  • Aorta, Thoracic / abnormalities*
  • Aortic Diseases / congenital*
  • Aortic Diseases / diagnostic imaging
  • Aortography
  • Arterio-Arterial Fistula / congenital*
  • Arterio-Arterial Fistula / diagnostic imaging
  • Cardiac Catheterization
  • Diagnosis, Differential
  • Heart Septal Defects, Ventricular / pathology*
  • Humans
  • Male
  • Pulmonary Artery / abnormalities*
  • Pulmonary Valve / abnormalities*