![]() Hanneman K, Newman B, Chan F (2017) Congenital variants and anomalies of the aortic arch. Prenat Diagn 37:329–335ĭ’Antonio F, Khalil A, Zidere V et al (2016) Fetuses with right aortic arch: a multicenter cohort study and meta-analysis. Peng R, Xie HN, Zheng J et al (2017) Fetal right aortic arch: associated anomalies, genetic anomalies with chromosomal microarray analysis, and postnatal outcome. Circulation 129:2183–2242Įdwards JE (1953) Malformations of the aortic arch system manifested as vascular rings. J Ultrasound Med 32:1067–1082ĭonofrio MT, Moon-Grady AJ, Hornberger LK et al (2014) Diagnosis and treatment of fetal cardiac disease: a scientific statement from the American Heart Association. Lee W (2013) AIUM practice guideline for the performance of fetal echocardiography. Rychik J, Ayres N, Cuneo B et al (2004) American society of echocardiography guidelines and standards for performance of the fetal echocardiogram. Gao J, Zhu J, Pei Q et al (2017) Prenatal ultrasonic diagnosis and differential diagnosis of isolated right aortic arch with mirror-image branching. Galindo A, Nieto O, Nieto MT et al (2009) Prenatal diagnosis of right aortic arch: associated findings, pregnancy outcome, and clinical significance of vascular rings. Wang Y, Fan M, Siddiqui FA et al (2018) Strategies for accurate diagnosis of fetal aortic arch anomalies: benefits of three-dimensional sonography with spatiotemporal image correlation and a novel algorithm for volume analysis. We recommend a cutoff value of 62.8°.Ĭampanale CM, Pasquini L, Santangelo TP et al (2019) Prenatal echocardiographic assessment of right aortic arch. Distinguishing the angle measurement between DAA and RAA-MB is helpful in prenatal prognosis. When the cutoff value was 62.8°, the sensitivity and specificity of the differential diagnosis were 95.5% and 96.9%, respectively. There was a significant difference in the angles between the groups (DAA: 50.3° ± 8.3° vs. The proportion of conotruncal anomalies is higher in the RAA-MB group (64.6%) than in the DAA group (18.2%) ( P < 0.05). The proportion of left-sided ductal arteriosus (100%) was higher in the DAA group than that (32.3%) in the RAA-MB group, ( P < 0.05). The differences between the two groups and differential diagnosis value of the angles were compared and analyzed based on the receiver operating characteristic curve. The angles between the two aortic arches in the DAA group and between the right aortic arch and the mirror branch were measured. ![]() Clinical data and prenatal echocardiographic features of the DAA ( n = 22) and RAA-MB ( n = 65) confirmed by postnatal or autopsy findings were analyzed retrospectively. The objective of this study was to explore a new method for the differential diagnosis between fetal double aortic arch (DAA) and right aortic arch with mirror-image branches (RAA-MB). ![]()
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