|
|
|
| Diagnostic value of three-vessel-trachea view in the diagnosis of fetal right arch |
| Department of Ultrasound, the Second Affiliated Hospital of China Medical University, Shenyang 110004, China |
|
|
|
|
Abstract Objective: To investigate the value of three-vessel-trachea view in the diagnosis of fetal right aortic arch. Methods: Ultrasonic characteristics in three-vessel-trachea view and clinical outcome of 61 fetuses with right aortic arch diagnosed by prenatal ultrasound in our hospital were retrospectively analyzed. Results: Sixty-one cases of fetal right aortic arch were diagnosed by prenatal ultrasound, with simple right aortic arch in 41 cases, double aortic arch in 2 cases, right aortic arch with cardiac abnormalities in 14 cases, right aortic arch with extracardiac malformations in 2 cases, and right aortic arch combined with cardiac and extracardiac malformations at the same time in 2 cases. Thirty-nine cases of live births postpartum confirmed prenatal diagnosis. Five cases of right aortic arch combined with other serious malformations chose induced labor(including 4 cases of autopsy results confirming the prenatal diagnosis, 1 case of induced labor without autopsy). Two cases are still under a close follow-up. One case of postpartum echocardiography result didn’t concord with the prenatal ultrasound diagnosis. Fourteen cases were lost from follow-up. Conclusion: Three-vessel-trachea view is a reliable view to diagnose fetal right aortic arch in prenatal ultrasonic examination, and simple fetal right aortic arch may not cause obvious clinical symptoms.
|
|
Received: 27 November 2015
|
|
|
|
Corresponding Authors:
CAI Ai-lu
|
|
|
|
[1]接连利，刘清华，许燕. 胎儿心脏病理解剖与超声诊断学[M]． 北京：人民卫生出版社，2010：283-286．
[2]苏晓婷，陈涛涛，张红卫. 先天性血管环的产前超声诊断[J]. 中国医学影像学杂志，2013，21（1）：48-50.
[3]Achiron R, Rotstein Z, Heggesh J, et al. Anomalies of the fetal aortic arch: a novel sonographic approach to in-utero diagnosis[J]. Ultrasound Obstet Gynecol, 2002, 20(6): 553-557.
[4]Gül A, Güngrdük K, Yildirim G. Perinatal outcomes and anomalies associated with fetal right aortic arch[J]. J Turkish-German Gynecol Assoc, 2012, 13(3): 184-186.
[5]马建芳，邓学东，潘琦，等. 右位主动脉弓胎儿超声心动图诊断分析[J]. 中华医学超声杂志：电子版，2012，9（10）：887-890.
[6]Hunter L, Callaghan N, Patel K, et al. Prenatal echocardiographic diagnosis of double aortic arch[J]. Ultrasound Obstet Gynecol, 2015, 45(4): 483-485.
[7]Lee MY, Won HS, Baek JW, et al. Variety of prenatally diagnosed congenital heart disease in 22q11.2 deletion syndrome[J]. Obstet Gynecol Sci, 2014, 57(1): 11-16.
[8]Perolo A, De Robertis V, Cataneo I, et al. The risk of 22q11.2 deletion in fetuses with a right aortic arch and without intracardiac anomalies[J]. Ultrasound Obstet Gynecol, 2015, 9(28): 15766.
[9]Miranda JO, Callaghan N, Miller O, et al. Right aortic diagnosed antenatally: associations and outcome in 98 fetuses[J]. Heart, 2014, 100(1): 54-59.
[10]张琳，刘俊刚，李欣，等. 儿童先天性主动脉弓畸形的MSCT诊断[J]. 放射学实践，2014，29（11）：1263-1267. |
|
|
|
