I wo-dimensional echocardiography has been used extensively to assess aortic arch anatomy in infants and children. Echocardiographic techniques for examination of left and right aortic arch, coarctation and interruption of the aorta, aortic aneurysm and double aortic arch have been well described.lp2 Right aortic arch with retroesophageal segment and left descending aorta, an unusual form of va...

A persistent left sided fifth aortic arch with coarctation of the aorta and persistence of the ductus arteriosus was recognised and treated surgically in a newborn infant. The fifth arch was used to repair the coarctation, and five years later the child had normal peripheral pulses and no residual murmurs.

Bicuspid aortic valve (BAV) represents the most common cardiac congenital malformation in the adult age, with strong male predominance. It may occur in isolation, or in association with other congenital heart diseases. The BAV is seen in 1% to 2% of the population and may be complicated by aortic stenosis or aortic insufficiency and infective endocarditis. It may be associated with abnormalitie...

A15-year-old girl was referred to our hospital for reevaluation and balloon angioplasty of a previously documented coarctation of the aorta. She had undergone coarctectomy at age 1 week and patch closure of a ventricular septal defect at age 1 year. Three years before referral, she had received balloon angioplasty to relieve postoperative restenosis of the descending aorta; this improved the pr...

A dilatable form of juxtaductal aortic coarctation was surgically created in 29 newborn lambs. Of the 17 long-term survivors, four lambs served as controls and 13 underwent transcutaneous balloon dilation angioplasty with either polyvinylchloride or polyethylene catheters after 7--10 weeks of recovery. During growth before dilation, there was little change in the systolic gradient across the co...

BACKGROUND Balloon angioplasty of coarctation of the aorta is an effective method of treatment but is complicated by tearing of the aortic intima, formation of aneurysms, and restenosis. Stent placement at the time of balloon dilation could prevent restenosis and could also prevent progression of intimal tears to aneurysms. The purpose of this study was to evaluate the feasibility of balloon di...

Congenital cutaneous hemangioma associated with congenital heart disease is extremely rare. We report four infants with congenital cavernous hemangioma of the face and neck and coarctation of the aorta. Three also had congenital aneurysm of a subclavian or innominate artery. One patient also had mild congenital valvular aortic stenosis. The unusual combination of lesions may represent a new syn...

Aneurysm formation is a life-threatening complication after operative therapy in coarctation. The identification of patients at risk for the development of such secondary pathologies is of high interest and requires a detailed understanding of the link between vascular malformation and altered hemodynamics. The routine morphometric follow-up by magnetic resonance angiography is a well-establish...

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