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A 6-day-old, 2.6 kg male neonate was admitted to the intensive care unit due to poor feeding and cyanosis after crying and was diagnosed with persistent fifth aortic arch (PFAA) complicated by distal stenosis and an interrupted fourth aortic arch. He manifested with progressive heart failure, shock, and acidosis. His clinical condition was progressively improved after endotracheal intubation and prostaglandin infusion was initiated. A surgical repair was performed through a standard median sternotomy.

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Anesthetic Management of a Neonate with Persistent Fifth Aortic Arch Complicated by Distal Stenosis and an Interrupted Fourth Aortic Arch

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  • 发表日期：

    2025年

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  • Jie Hu

摘要

A 6-day-old, 2.6 kg male neonate was admitted to the intensive care unit due to poor feeding and cyanosis after crying and was diagnosed with persistent fifth aortic arch (PFAA) complicated by distal stenosis and an interrupted fourth aortic arch. He manifested with progressive heart failure, shock, and acidosis. His clinical condition was progressively improved after endotracheal intubation and prostaglandin infusion was initiated. A surgical repair was performed through a standard median sternotomy.