Abstract
Interruption of the aortic arch (IAA) is a rare, severe form of congenital heart defect characterized by complete anatomical discontinuity between two adjacent segments of the aortic arch. The data on the features and outcomes of fetal IAA are limited. Three anatomical types have been described according to the site of interruption. The current recommendations for screening on the obstetric fetal anomaly scan include identification of a 4-chamber view, all 4 valves, and the outflow tracts, all of which can appear to be normal to the ultrasonographer in fetuses with conotruncal anomalies. Although the identification of IAA on a prenatal echocardiogram can be challenging, a number of anatomic features can facilitate the diagnosis. We aim to present the features and outcome of a case of IAA type B referred to our centre in the light of literatures
Keywords
Congenital heart defect four dimensional ultrasound fetal echocardiography interrupted aortic arch prenatal diagnosis
References
- Vogel M, Vernon MM, McElhinney DB, et al. Fetal diagnosis
- of interrupted aortic arch. Am J Cardiol 2010;105:727-734.
- Axt-Fliedner R, Kawecki A, Enzensberger C, et al. Fetal and
- neonatal diagnosis of interrupted aortic arch: associations
- and outcomes. Fetal Diagn Ther 2011;30:299-305.
- Volpe P, Tuo G, De Robertis V, et al. Fetal interrupted aortic
- arch: 2D-4D echocardiography, associations and outcome.
- Ultrasound Obstet Gynecol 2010;35:302-309.
- Schreiber C, Mazzitelli D, Haehnel JC, et al. The interrupted
- aortic arch: an overview after 20 years of surgical treatment. Eur J Cardiothorac Surg 1997;12:466-469.
- Matsumoto T, Miyakoshi K, Yoshimura Y. Prenatal images
- of the truncus arteriosus with an interrupted aortic arch. Pediatr Cardiol 2013;34:473-475.
- Sklansky MS, Berman DP, Pruetz JD, Chang RK. Prenatal
- screening for major congenital heart disease: superiority of
- outflow tracts over the 4-chamber view. J Ultrasound Med
- ;28:889-899.
- Lee MY, Won HS, Baek JW, et al. Variety of prenatally diagnosed congenital heart disease in 22q11.2 deletion syndrome. Obstet Gynecol Sci 2014;57:11-16.
- Takabayashi S, Shomura S, Yokoyama K, et al. Spontaneous
- closure of ductus arteriosus in interrupted aortic arch with
- ventricular septal defect. Jpn J Thorac Cardiovasc Surg
- ;52:98-100.
- McCrindle BW, Tchervenkov CI, Konstantinov IE, et al.
- Risk factors associated with mortality and interventions
- in 472 neonates with interrupted aortic arch: a Congenital
- Heart Surgeons Society study. J Thorac Cardiovasc Surg
- ; 129:343-350.
- Tezcan O, Güçlü O, Yazıcı S, et al. 14 years’ experience of
- congenital heart disease in our cardiovascular clinic. Dicle
- Med J 2014;41:479-482.
Abstract
Interruption of the aortic arch (IAA) is a rare, severe form of congenital heart defect characterized by complete anatomical discontinuity between two adjacent segments of the aortic arch. The data on the features and outcomes of fetal IAA are limited. Three anatomical types have been described according to the site of interruption. The current recommendations for screening on the obstetric fetal anomaly scan include identification of a 4-chamber view, all 4 valves, and the outflow tracts, all of which can appear to be normal to the ultrasonographer in fetuses with conotruncal anomalies. Although the identification of IAA on a prenatal echocardiogram can be challenging, a number of anatomic features can facilitate the diagnosis. We aim to present the features and outcome of a case of IAA type B referred to our centre in the light of literatures.
Key words: Congenital heart defect, four dimensional ultrasound, fetal echocardiography, interrupted aortic arch, prenatal diagnosis
Keywords
Konjenital kalp defekti dört boyutlu ultrason fetal ekokardiyografi interrupted aortik ark prenatal tanı
References
- Vogel M, Vernon MM, McElhinney DB, et al. Fetal diagnosis
- of interrupted aortic arch. Am J Cardiol 2010;105:727-734.
- Axt-Fliedner R, Kawecki A, Enzensberger C, et al. Fetal and
- neonatal diagnosis of interrupted aortic arch: associations
- and outcomes. Fetal Diagn Ther 2011;30:299-305.
- Volpe P, Tuo G, De Robertis V, et al. Fetal interrupted aortic
- arch: 2D-4D echocardiography, associations and outcome.
- Ultrasound Obstet Gynecol 2010;35:302-309.
- Schreiber C, Mazzitelli D, Haehnel JC, et al. The interrupted
- aortic arch: an overview after 20 years of surgical treatment. Eur J Cardiothorac Surg 1997;12:466-469.
- Matsumoto T, Miyakoshi K, Yoshimura Y. Prenatal images
- of the truncus arteriosus with an interrupted aortic arch. Pediatr Cardiol 2013;34:473-475.
- Sklansky MS, Berman DP, Pruetz JD, Chang RK. Prenatal
- screening for major congenital heart disease: superiority of
- outflow tracts over the 4-chamber view. J Ultrasound Med
- ;28:889-899.
- Lee MY, Won HS, Baek JW, et al. Variety of prenatally diagnosed congenital heart disease in 22q11.2 deletion syndrome. Obstet Gynecol Sci 2014;57:11-16.
- Takabayashi S, Shomura S, Yokoyama K, et al. Spontaneous
- closure of ductus arteriosus in interrupted aortic arch with
- ventricular septal defect. Jpn J Thorac Cardiovasc Surg
- ;52:98-100.
- McCrindle BW, Tchervenkov CI, Konstantinov IE, et al.
- Risk factors associated with mortality and interventions
- in 472 neonates with interrupted aortic arch: a Congenital
- Heart Surgeons Society study. J Thorac Cardiovasc Surg
- ; 129:343-350.
- Tezcan O, Güçlü O, Yazıcı S, et al. 14 years’ experience of
- congenital heart disease in our cardiovascular clinic. Dicle
- Med J 2014;41:479-482.
Details
| Primary Language | English |
|---|---|
| Journal Section | Research Articles |
| Authors | |
| Publication Date | July 9, 2015 |
| Submission Date | July 9, 2015 |
| Published in Issue | Year 2015 Volume: 42 Issue: 2 |