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Surgical treatment of double-lumen aortic arch (persistent fifth aortic arch) associated with severe aortic coarctation
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  • Chang Hun Kim,
  • Hyungtae Kim,
  • Kwang Ho Choi,
  • Si Chan Sung,
  • Hoon Ko
Chang Hun Kim
Pusan National University Yangsan Hospital

Corresponding Author:chk002@gmail.com

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Hyungtae Kim
Pusan National University Yangsan Hospital
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Kwang Ho Choi
Pusan National University Yangsan Hospital
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Si Chan Sung
Pusan National University Yangsan Hospital
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Hoon Ko
Pusan National University Yangsan Hospital
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Abstract

Persistent fifth aortic arch (PFAA) is a rare anomaly often associated with aortic coarctation or interruption, and various surgical techniques for this anomaly have been reported. Herein, we show a case of an infant with PFAA and severe aortic coarctation. The aortic arch was reconstructed using end-to-side anastomosis between the fifth aortic arch and the descending aorta without any artificial conduit or patching material. This approach is easy and effective, has growth potential, and an additional surgery is not needed in the future.