Prenatal diagnosis of aberrant right subclavian artery by fetal echocardiography
10.3760/cma.j.issn.1004-4477.2014.09.008
- VernacularTitle:迷走右锁骨下动脉的产前超声诊断及临床价值
- Author:
Shi ZENG
;
Qichang ZHOU
;
Jiawei ZHOU
;
Danming CAO
;
Ming ZHANG
;
Can LONG
- Publication Type:Journal Article
- Keywords:
Ultrasonography,prenatal;
Subclavian artery;
Aberrant right subclavian artery
- From:
Chinese Journal of Ultrasonography
2014;23(9):762-764
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical value and prenatal diagnosis feasibility of fetal aberrant right subclavian artery(ARSA) with fetal echocardiography.Methods The data of 39 fetuses with ARSA were retrospectively reviewed.The prenatal and postnatal medical records,including the presence of fetal abnormalities,cardiac defect,karyotype and the outcomes of each pregnancy were collected.Results The echocardiographic feature of ARSA was that an ARSA arises as a fourth branch of the arch,from the descending aorta behind the trachea,crosses the thorax between the trachea and the spine,to reach the right arm.The overall incidence of ARSA was 2.3 ％ (39/17 280),23 cases (59.0 ％) as an isolated malformation,16 cases (41.0％) combined with cardiac defect and extracardiac abnormalities,9 cases (23.1％) with chromosomal abnormalities.23 cases underwent termination of pregnancy,2 cases died in uterus and 14 cases were born live.Isolated ARSA group had lower incidence of chromosomal abnormalities (8.7％ vs 43.8 ％,P ＜ 0.05) and higher fetal survival rate (56.5％ vs 6.2％,P ＜0.05) than the combined detects group.Conclusions The fetus with ARSA complicated with aneuploid karyotype,cardiac defects and extracardiac anomalies are at hight risk of poor prognosis.
