Unusual Vascular Ring in the Fetus.
Dysphagia
Left aortic arch
Right arterial duct
Stridor
Tracheal compression
Vascular ring
Journal
Pediatric cardiology
ISSN: 1432-1971
Titre abrégé: Pediatr Cardiol
Pays: United States
ID NLM: 8003849
Informations de publication
Date de publication:
11 Aug 2023
11 Aug 2023
Historique:
received:
01
05
2023
accepted:
31
07
2023
medline:
11
8
2023
pubmed:
11
8
2023
entrez:
11
8
2023
Statut:
aheadofprint
Résumé
We present the clinical course and echocardiographic and genetic findings of two fetuses with an unusual vascular ring, created by a left aortic arch with a right arterial duct and an aberrant right subclavian artery. One fetus was diagnosed with 22q11.2 microdeletion and the other became symptomatic in infancy. It is important to consider the position of the arterial ductal ligament in patients who present with tracheoesophageal compressive symptoms in the presence of a left aortic arch. These cases also highlight that a vascular ring formed from a left arch may have similar associations to a vascular ring formed by a right aortic arch.
Identifiants
pubmed: 37566242
doi: 10.1007/s00246-023-03261-3
pii: 10.1007/s00246-023-03261-3
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Références
Lloyd DFA, Pushparajah K, Simpson JM, van Amerom JFP, van Poppel MPM, Schulz A, Kainz B, Deprez M, Lohezic M, Allsop J, Mathur S, Bellsham-Revell H, Vigneswaran T, Charakida M, Miller O, Zidere V, Sharland G, Rutherford M, Hajnal JV, Razavi R (2019) Three-dimensional visualisation of the fetal heart using prenatal MRI with motion-corrected slice-volume registration: a prospective, single-centre cohort study. Lancet 393:1619–2162
doi: 10.1016/S0140-6736(18)32490-5
pubmed: 30910324
pmcid: 6484696
Vigneswaran TV, Jabak S, Syngelaki A, Charakida M, Simpson JM, Nicolaides KH, Zidere V (2019) Prenatal incidence of isolated right aortic arch and double aortic arch. J Matern Fetal Neonatal Med 34:2985–2990
doi: 10.1080/14767058.2019.1676413
pubmed: 31578117
Vigneswaran TV, Allan L, Charakida M, Durward D, Simpson JM, Nicolaides K, Zidere V (2018) Prenatal diagnosis and clinical implications of an apparently isolated right aortic arch. Prenat Diagn 38:1055–1061
doi: 10.1002/pd.5388
pubmed: 30421794
Vigneswaran TV, Kapravelou E, Bell AJ, Nyman A, Pushparajah K, Simpson JM, Durward A, Zidere V (2018) Correlation of symptoms with bronchoscopic findings in children with a prenatal diagnosis of a right aortic arch and left arterial duct. Pediatr Cardiol 39:665–673
doi: 10.1007/s00246-017-1804-5
pubmed: 29307026
Gross RE (1945) Surgical relief for tracheal obstruction from a vascular ring. N Engl J Med 233:586–590
doi: 10.1056/NEJM194511152332003
pubmed: 21003928
Van Poppel MPM, Zidere V, Simpson JM, Vigneswaran TV (2022) Fetal echocardiographic markers to differentiate between a right and a double aortic arch. Prenat Diagn 42:419–427
doi: 10.1002/pd.6104
pubmed: 35060138
Oakley C, James P, Hurn A, Suckling C, Moriarty G, Heraghty J, Simpson JM, Turcu S, Zidere V, Nyman A, Vigneswaran TV (2023) Impact on the trachea in children with prenatally diagnosed vascular ring formed by a right aortic arch. Pediatr Pulmonol 58(8):2275–2282
doi: 10.1002/ppul.26463
pubmed: 37212498
Greco E, Vigneswaran TV, Akolekar R, Zidere V, Simpson J, Nicolaides KH (2016) P14 Significance and associations of aberrant right subclavian artery in the fetal cardiology setting. Heart 102:A7−A8
doi: 10.1136/heartjnl-2016-309377.14
Sinha M, Pandey NN, Rajagopal R, Sharma A (2019) A rare configuration of a complete vascular ring with the ductus arteriosus arising from the aberrant subclavian artery. BMJ Case Rep 23:12