Anomalies of the fetal aortic arch: a novel sonographic approach to <i>in‐utero</i> diagnosis

Achiron, Reuven; Rotstein, Zeev; Heggesh, J.; Bronshtein, Moshe; Zimand, S; Lipitz, Shlomo; Yagel, Simcha

doi:10.1046/j.1469-0705.2002.00850.x

Cited by 151 publications

(178 citation statements)

References 17 publications

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“…Another two had mild symptoms, which improved. Computed tomographic angiography and barium swallow at 2 and 5 years of age showed no significant obstruction Galindo (2009) 11 Turan (2009) 12 Hsu (2011) 32 Li (2011) 31 Bronshtein (2011) 30 Gul (2012) 29 Miranda (2014) 28 Razon (2014) 24 Chaoui (2002) 25 Achiron (2002) 2 Patel (2006) 10 Berg (2006) 8 Zidere (2006) 7 Tuo (2009) 9 Galindo (2009) 11 Turan (2009) 12 Hsu (2011) 32 Bronshtein (2011) 30 Gul (2012) 29 Miranda (2014) 28 Razon (2014) 24 Current study Galindo (2009) 11 Turan (2009) 12 Hsu (2011) 32 Li (2011) 31 Bronshtein (2011) 30 Bronshtein (1998) 6 Gul (2012) 29 Miranda (2014) 28 Achiron (2002) 2 Patel (2006) 10 Berg (2006) 8 Zidere (2006) 7 Tuo (2009) 9 Galindo (2009) 11 Turan (2009) 12 Hsu (2011) 32 Li (2011) 31 Bronshtein (2011) 30 Chaoui (2002) 25 Gul (2012) …”

Section: Cohort Studymentioning

confidence: 99%

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Fetuses with right aortic arch: a multicenter cohort study and meta‐analysis

D’Antonio

Khalil

Zidere

et al. 2016

Ultrasound in Obstet & Gyne

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Section: Cohort Studymentioning

confidence: 99%

“…It courses to the right of the trachea, in contrast to the normal left aortic arch (LAA). Its incidence is estimated to be 0.1% 1,2 . Variations of aortic laterality and branching pattern result from abnormal regression of the primordial paired aortic arches during embryonic development.…”

Section: Introductionmentioning

confidence: 99%

Fetuses with right aortic arch: a multicenter cohort study and meta‐analysis

D’Antonio

Khalil

Zidere

et al. 2016

Ultrasound in Obstet & Gyne

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show abstract

“…It can be easily obtained by moving the transducer from the 4-chamber view in a cranial direction. Achiron et al 2 showed that the location of the aortic arch in relation to the trachea can be easily visualized because the fetal airway is normally filled with fluid, allowing sonographic visualization. Yagel et al 8 reported application of the 3-vessel and trachea view, which is transverse in the upper mediastinum slightly cranial to the 3-vessel view described by Yoo et al 7 Integration of the 3-vessel view has been proposed in sequential segmental analysis to diagnose congenital heart disease.…”

Section: Discussionmentioning

confidence: 99%

“…There are very few reports of prenatal diagnosis of vascular rings. [1][2][3][4] The typical presentation in postnatal life is stridor. Many times, parents notice noisy breathing from birth that is aggravated by intercurrent upper respiratory infections.…”

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confidence: 99%

Fetal Echocardiographic Diagnosis of Vascular Rings

Patel

Lane

Spector

et al. 2006

Journal of Ultrasound in Medicine

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Objective. The purpose of this series is to describe the prenatal echocardiographic findings of vascular rings. Methods. The 3-vessel and trachea view consists of the axial view of the upper mediastinum. The normal left aortic arch appears as a V-shaped confluence of the ductus arteriosus and aortic arch, with the trachea situated posterior and to the right. No vessel should encircle the trachea. The diagnoses of vascular rings were made prenatally and were confirmed in all patients postnatally. Results. Six fetuses had diagnoses of vascular rings. The mean gestational age at diagnosis was 23.3 weeks (range, 18-31 weeks). The indications for fetal echocardiography were family history of congenital heart disease, echogenic focus in the left ventricle, and abnormal 4-chamber view. There were 2 fetuses with a double aortic arch; 3 fetuses with a right aortic arch, an aberrant left subclavian artery, and a left ductus arteriosus; and 1 with a right circumflex aortic arch with a left ductus arteriosus and an aberrant left subclavian artery. Two fetuses had associated structural cardiac defects, 1 with an unbalanced atrioventricular septal defect and trisomy 21 and the other with a double-outlet right ventricle, pulmonary atresia, and multiple other congenital anomalies. Conclusions. Vascular rings can be accurately diagnosed prenatally with recognition of a vascular structure that courses around the trachea and absence of the usual V-shaped relationship of the aortic and ductal arches. The color Doppler findings and the presence of a ductus arteriosus aid in identifying various components of the vascular ring.

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“…The incidence of RAA in the general population is unknown, but a rate of 1/1000 in low‐risk pregnancies has been suggested 56 . It is a normal variant of vascular anatomy.…”

Section: Introductionmentioning

confidence: 99%

Simplifying ultrasound assessment of the fetal heart: Incorporating the complete Three Vessel View into routine screening

Mogra

2013

Australas J Ultrason Med

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Introduction: As our experience and ultrasound resolution have improved significantly in last 30 years it is possible to detect most of the major cardiac abnormalities prenatally with high degree of accuracy. Method: Current screening techniques have poor detection rate for congenital heart diseases (CHD) and nearly half of the major cardiac abnormalities mainly of Great Arteries goes unrecognised. A high detection rate for major CHDs can be achieved in a screening setting by improving techniques of routine screening in the low risk population. Conclusion: This article summarises the alternative strategies to examine the outflow tracts and Great Arteries, its correct interpretation and examples of abnormal views.

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Anomalies of the fetal aortic arch: a novel sonographic approach to in‐utero diagnosis

Abstract: Objective To describe a novel, sonographic approach for in-utero evaluation of normal and abnormal aortic arch. Methods

Cited by 151 publications

References 17 publications

Fetuses with right aortic arch: a multicenter cohort study and meta‐analysis

Fetuses with right aortic arch: a multicenter cohort study and meta‐analysis

Fetal Echocardiographic Diagnosis of Vascular Rings

Simplifying ultrasound assessment of the fetal heart: Incorporating the complete Three Vessel View into routine screening

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