Ali BABACAN, Yaşam AKPAK, Okan ÖZDEN, Selami SÜLEYMANOĞLU, Ersin ÖZTÜRK, Ercüment MÜNGEN

Fetal interrupted aortik ark tip B’nin antenatal değerlendirilmesi

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

Anahtar Kelimeler:

Konjenital kalp defekti, dört boyutlu ultrason, fetal ekokardiyografi, interrupted aortik ark, prenatal tanı

-

Keywords:

Congenital heart defect, four dimensional ultrasound, fetal echocardiography, interrupted aortic arch, prenatal diagnosis,

PDF

___

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.