Congenital anomalies of the Aortic arch

congenital anomalies
congenital anomalies


Aortic arch anomalies refer to congenital abnormalities of the position or branching pattern, or both of the aortic arch. Insight into the hypothetical arch model is crucial to understanding anomalies of the aortic arch in the fetus and recognition of the trachea, three major vessels, ductus arteriosus and descending aorta in the axial views of the upper mediastinum is necessary for a complete fetal cardiac assessment. Clues to aortic arch anomalies include abnormal position of the descending aorta, absence of the normal ‘V-shaped conuence of the ductal and aortic arches, a gap between the ascending aorta and main pulmonary artery in the three-vessel view, and an abnormal vessel behind the trachea with or without a vascular loop or ring around the trachea.

Meticulous attention to anatomic landmarks will lead to successful prenatal diagnosis of important vascular rings making early postnatal management possible.


Table of Contents:

1. Introduction

2. Fetal Sonographic Approach and Normal Anatomy

3. Right Aortic Arch with Mirror-Image Branching

4. Right Aortic Arch with Aberrant Left Subclavian or Innominate Artery

5. Left Aortic Arch with Aberrant Right Subclavian or Innominate Artery

6. Double Aortic Arch

7. Coarctation of the Aorta

8. Summary


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The Authors:

MUNTEANU Alexandra [2]

ANDREI Cristian[2]

FILIPESCU Alexandru G. [1]

[1] Assistant Professor, University Of Medicine And Pharmacy Carol Davila, Bucharest (ROMANIA).

[2] Elias Universitary Emergency Hospital, Bucharest (ROMANIA).


Contributo selezionato da Filodiritto tra quelli pubblicati nei Proceedings “7th Congress of the Romanian Society of Ultrasound in Obstetrics and Gynecology - 2019”

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Contribution selected by Filodiritto among those published in the Proceedings “7th Congress of the Romanian Society of Ultrasound in Obstetrics and Gynecology - 2019”

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