Figures
Figure 1. (A) Severe cardiomegaly was identified on the initial chest x-ray, and (B) preoperative echocardiography and (C) three-dimensional computed tomography angiography (posterior view) showed the persistent fifth aortic arch with severe aortic coarctation.
DA = descending aorta; LA = left atrium; PFAA = persistent fifth aortic arch.
Figure 2. Schematic drawing of the operative technique. (A) The anatomic morphology of the aortic arch and (B) after division of the isthmic portion and the ductus arteriosus. (C) The proximal stump of the fifth aortic arch was anastomosed to the trimmed descending thoracic aorta in an end-to-side fashion.
Figure 3.Postoperative three-dimensional computed tomography showing a wide aortic arch without stenosis.