Furtado, A. D.Manohar, S. R. K.Pradhan, S. K.Pillai, V.Karunakaran, J.2012-12-042012-12-042012THORACIC AND CARDIOVASCULAR SURGEON. 60; 3; 233-235http://dx.doi.org/10.1055/s-0030-1271013https://dspace.sctimst.ac.in/handle/123456789/869Congenital double-lumen aortic arch resulting from persistence of the fifth aortic arterial arch (PFAA) is a rare congenital anomaly. It appears as a vascular structure running inferior and parallel to the "real" aortic arch from the innominate artery to the left subclavian artery. We report a case of persistent fifth aortic arch (systemic-to-systemic arterial connection) with pentalogy of Fallot in a patient who underwent successful intracardiac repair with a transannular patch with very proximal aortic cannulation for cardiopulmonary bypass (CPB).Cardiovascular and Thoracic Surgery