Fırat ÖKMEN, huseyin EKİCİ, Metehan IMAMOGLU, Sabahattin Anıl ARI, Sabina GARAKHANOVA, Ahmet Mete ERGENOĞLU, Ahmet Özgür YENİEL

Dorsal approach technique for the visualization of the aortic arch

Aim: In this study, we aimed define a new technique to visualize the aortic arch in order to diagnose aortic arch anomalies with a dorsal approach when fetal spine is in anterior position within the uterus. Materials and Methods: 115 patients who were referred to the prenatal screening unit between gestational weeks 20-40 were admitted to the study. 110 patients with normal cardiac findings and 5 fetuses with postnatally confirmed diagnosis of coarctation of aorta were evaluated with the new technique. Results: Aortic arch of 115 fetuses were successfully visualized with the technique defined in detail. Conclusion: The dorsal approach for the visualization of the aortic arch seems as a durable and a convenient technique for the fetal cardiac evaluation, especially in terms of better diagnostic capability for aortic arch pathologies under circumstances where the ventral approach is not feasible.

Aort kemeri görüntülenmesinde dorsal yaklaşım tekniği

Amaç: Bu çalışmada, fetus dorso-anterior pozisyondayken aort kemerinin görüntülenmesi ve anomalilerinin tespiti için yeni bir teknik tanımlamayı amaçladık. Gereç ve Yöntem: 20. ile 40. gebelik haftalarında prenatal değerlendirme birimine yönlendirilen 115 gebe çalışmaya dahil edildi. Normal bulgulara sahip 115 fetus ile doğum sonrası konfirme edilmiş beş aort koarktasyonlu fetus tanımlanan yeni teknik ile değerlendirildi. Bulgular: 115 dorso anterior duruşlu fetusta aort kemeri tanımlanan yeni teknikle başarıyla gösterilmiştir. Sonuç: Aort kemerinin izlenmesinde dorsal yaklaşım, özellikle ventral yaklaşımın mümkün olmadığı durumlarda aort kemerinin patolojileri için daha iyi tanı kabiliyeti ile uygun bir teknik olarak kullanılabilir.

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