Prenatal Diagnosis and Outcome of Right Aortic Arch without Significant Intracardiac Anomaly

Razon, Yaron; Berant, Michael; Fogelman, Rami; Amir, Gabriel; Birk, Einat

doi:10.1016/j.echo.2014.08.003

Cited by 70 publications

(91 citation statements)

References 16 publications

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“…Attempts should be made to rule out the possibility of a double aortic arch. Razon et al 24 highlighted recently the fact that a double arch may be overlooked on prenatal scans due to the presence of a small, or even atretic, left arch. The remainder of the fetal anatomy should be assessed thoroughly by a fetal medicine specialist.…”

Section: Implications For Clinical Practice and Future Researchmentioning

confidence: 99%

“…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: Implications For Clinical Practice and Future Researchmentioning

confidence: 99%

Section: Cohort Studymentioning

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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“…As seen in this patient, DAA is likely to present as an isolated RAA initially on prenatal echocardiography [5,6]. RAA alone was initially found in two of three [5] and one of two cases with DAA [6] reported previously.…”

Section: Discussionmentioning

confidence: 71%

“…Therefore, prenatal diagnosis or suspicion of DAA may be clinically important. [5]). Further examination for detection of LAA is recommended in cases with RAA [6,7].…”

Section: Discussionmentioning

confidence: 99%

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A Case of Prenatal Presentation with Double Aortic Arch

Shiono¹,

Takei

Yamada³

et al. 2015

J Neonatal Biol

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Double aortic arch (DAA) is a form of vascular ring found in approximately 1 in 2000-4000 pregnancies on fetal echocardiography. In some cases of DAA, respiratory compromise occurs during infancy due to compression of the trachea, which is completely encircled by the right aortic arch (RAA) and left aortic arch (LAA). RAA and left arterial duct were initially seen on screening fetal echocardiography in a 36-year-old Japanese woman at gestational week (GW) 23. The fetus was later found to have DAA by detailed echocardiography at GW 26. The female neonate born at GW 38 weighing 2894 g with 1-and 5-minute Apgar scores of 8 and 9, respectively, developed tachypnea, stridor, and wheezing soon after birth, and underwent successful surgical correction 10 hours after birth. Thus, prenatal diagnosis of DAA aided in early recovery in this case.

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22q11.2 deletion syndrome and congenital heart disease

Goldmuntz

2020

American J of Med Genetics Pt C

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The 22q11.2 deletion syndrome has an estimated prevalence of 1 in 4–6,000 livebirths. The phenotype varies widely; the most common features include: facial dysmorphia, hypocalcemia, palate and speech disorders, feeding and gastrointestinal disorders, immunodeficiency, recurrent infections, neurodevelopmental and psychiatric disorders, and congenital heart disease. Approximately 60–80% of patients have a cardiac malformation most commonly including a subset of conotruncal defects (tetralogy of Fallot, truncus arteriosus, interrupted aortic arch type B), conoventricular and/or atrial septal defects, and aortic arch anomalies. Cardiac patients with a 22q11.2 deletion do not generally experience higher mortality upon surgical intervention but suffer more peri‐operative complications than their non‐syndromic counterparts. New guidelines suggest screening for a 22q11.2 deletion in the patient with tetralogy of Fallot, truncus arteriosus, interrupted aortic arch type B, conoventricular septal defects as well as those with an isolated aortic arch anomaly. Early identification of a 22q11.2 deletion in the neonate or infant when other syndromic features may not be apparent allows for timely parental screening for reproductive counseling and anticipatory evaluation of cardiac and noncardiac features. Screening the at‐risk child or adult allows for important age‐specific clinical, neurodevelopmental, psychiatric, and reproductive issues to be addressed.

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Prenatal Diagnosis and Outcome of Right Aortic Arch without Significant Intracardiac Anomaly

Cited by 70 publications

References 16 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

A Case of Prenatal Presentation with Double Aortic Arch

22q11.2 deletion syndrome and congenital heart disease

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