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KEY FACTS
Terminology
Imaging
Clinical Issues
TERMINOLOGY
Synonyms
Ipsilateral double aortic arch
Double lumen aortic arch
Definitions
Rare congenital vascular anomaly of aortic arch
May be isolated
Often associated with other congenital cardiac, vascular, or skeletal anomalies
2 distinct forms
Systemic-to-systemic connection
5th arch arises at brachiocephalic trunk and reconnects at descending aorta
Systemic-to-pulmonary connection
5th arch connects with embryologic remnant of 6th aortic arch, which is usually left pulmonary artery
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
CLINICAL ISSUES
Presentation
Demographics
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
Kligerman S et al: Persistent fifth aortic arch in a patient with a history of intrauterine thalidomide exposure. J Cardiovasc Comput Tomogr. 3(6):412-4, 2009
Kirsch J et al: Magnetic resonance angiography of an ipsilateral double aortic arch due to persistent left fourth and fifth aortic arches. Pediatr Radiol. 37(5):501-2, 2007
Zhao YH et al: Surgical treatment of persistent fifth aortic arch associated with interrupted aortic arch. Ann Thorac Surg. 84(3):1016-9, 2007
Zhong Y et al: Contrast-enhanced magnetic resonance angiography of persistent fifth aortic arch in children. Pediatr Radiol. 37(3):256-63, 2007
Hwang MS et al: Isolated persistent fifth aortic arch with systemic-to-pulmonary arterial connection. J Thorac Cardiovasc Surg. 126(5):1643-4, 2003
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Clinical Issues
TERMINOLOGY
Synonyms
Ipsilateral double aortic arch
Double lumen aortic arch
Definitions
Rare congenital vascular anomaly of aortic arch
May be isolated
Often associated with other congenital cardiac, vascular, or skeletal anomalies
2 distinct forms
Systemic-to-systemic connection
5th arch arises at brachiocephalic trunk and reconnects at descending aorta
Systemic-to-pulmonary connection
5th arch connects with embryologic remnant of 6th aortic arch, which is usually left pulmonary artery
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
CLINICAL ISSUES
Presentation
Demographics
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
Kligerman S et al: Persistent fifth aortic arch in a patient with a history of intrauterine thalidomide exposure. J Cardiovasc Comput Tomogr. 3(6):412-4, 2009
Kirsch J et al: Magnetic resonance angiography of an ipsilateral double aortic arch due to persistent left fourth and fifth aortic arches. Pediatr Radiol. 37(5):501-2, 2007
Zhao YH et al: Surgical treatment of persistent fifth aortic arch associated with interrupted aortic arch. Ann Thorac Surg. 84(3):1016-9, 2007
Zhong Y et al: Contrast-enhanced magnetic resonance angiography of persistent fifth aortic arch in children. Pediatr Radiol. 37(3):256-63, 2007
Hwang MS et al: Isolated persistent fifth aortic arch with systemic-to-pulmonary arterial connection. J Thorac Cardiovasc Surg. 126(5):1643-4, 2003
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