Entrar/Registro  
HOME SPANISH
 
Ginecología y Obstetricia de México
   
MENU

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board






>Journals >Ginecología y Obstetricia de México >Year 2012, Issue 06


Bravo AC, Gámez AF, Pérez R, Ortiz-Quintana L, León-Luis J
Diagnosis of Isolated Fetal Aberrant Right Subclavian Artery
Ginecol Obstet Mex 2012; 80 (06)

Language: Español
References: 20
Page: 425-429
PDF: 301.41 Kb.


Full text




ABSTRACT

A case of a fetal isolated aberrant right subclavian artery (ARSA) diagnosis and discuss its clinical implications and the methodology used to assess the fetal right subclavian artery by transabdominal ultrasound in normal cases and those with ARSA is reported.
Clinical case: A 35 year-old pregnant woman in her twentieth week of pregnancy was evaluated at our Fetal Medicine Unit. An isolated ARSA was detected by a transabdominal ultrasound scan of the fetus. The visualization of this anomaly was achieved through an axial view of the fetal thorax, at the level of the three vessels and trachea scanning plane. It was observed that the origin of ARSA from the aortic arch was close to the ductus arteriosus and it followed a retrotracheal course towards the right arm.
The described methodology used to assess the right subclavian artery could be useful for prenatal diagnosis in cases of ARSA. Based on this protocol, further studies could be performed to evaluate the utility of ARSA as a sonographic marker for chromosomal abnormality and congenital heart disease. After the diagnosis of an isolated ARSA, the performance of a fetal karyotype test is still debatable.


Key words: aberrant subclavian artery, ultrasound, aneuploidy, congenital heart defects.


REFERENCIAS

  1. Chaoui R, Rake A, Heling KS. Aortic arch with four vessels: aberrant right subclavian artery. Ultrasound Obstet Gynecol 2008;31(1):115-117.

  2. Chaoui R,Thiel G, Heling KS. Prevalence of an aberrant right subclavian artery (ARSA) in normal fetuses: a new soft marker for trisomy 21 risk assessment. Ultrasound Obstet Gynecol 2005;26:356.

  3. Zalel Y,Achiron R, Yagel S, Kivilevitch Z. Fetal aberrant right subclavian artery in normal and Down syndrome fetuses. Ultrasound Obstet Gynecol 2008;31(1):25-29.

  4. Chaoui R, Heling KS, Sarioglu N, Schwabe M, Dankof A, Bollmann R. Aberrant right subclavian artery as a new cardiac sign in second- and third-trimester fetuses with Down syndrome. Am J Obstet Gynecol 2005;192(1):257-263.

  5. Borenstein M, Cavoretto P, Allan L, Huggon 1, Nicolaides KH. Aberrant right subclavian artery at 11+Oto 13 + 6 weeks of gestation in chromosomally normal and abnormal fetuses. Ultrasound Obstet Gynecol 2008 ;31(1):20-24.

  6. Borenstein M,Minekawa R, Zidere V, Nicolaides KH, Allan LD. Aberrant right subclavian artery at 16 to 23 + 6 weeks of gestation: a marker for chromosomal abnormality. Ultrasound Obstet Gynecol 2010 ;36(5):548-552.

  7. Vibert-Guigue C, Fredouille C, Gricorescu R, St-Frison M, Encha-Razavi, F. Joy’ e N et al. Données foetopathologiques sur une serie de fretus trisomique 21. Rev Pract Gynecol Obstet 2006;103:35-40.

  8. Chaoui R, Thiel G, Heling K. Prevalence of a right subclavian artery (ARSA) in fetuses with chromosomal aberrations. Ultrasound Obstet Gynecol 2006;28:414.

  9. Rauch R, Rauch A, Koch A, Zink S, Kaulitz R,Girisch M et al. Laterality of the aortic arch and anomalies of the subclavian artery-reliable indicators for 22q11.2 deletion syndromes? Eur J Pediatr 2004 ;163(11):642-645.

  10. Bravo C, Gámez F, Pintado P, De León-Luis J, Pérez R, Aguarán A. Prenatal aberrant right subclavian artery: a hereditary malformation? J Ultrasound Med 2012;31(5):813-815.

  11. Casey ED, Donelly M, McCaul CL. Severe retropharyngeal abscess after the use of a reinforced laryngeal mask with a Bosworth introducer. Anesthesiology 2009;110(4):943-945.

  12. Donnelly LF, Fleck RJ, Pacharn P, Ziegler MA, Fricke BL, Cotton RT. Aberrant subclavian arteries: cross-sectional imaging findings in infants and children referred for evaluation of extrinsic airway compression. AJR Am J Roentgenol 2002;178(5):1269-1274.

  13. Kent PD, Poterucha TH. lmages in clinical medicine. Aberrant right subclavian artery and dysphagia lusoria. N Engl J Med 2002;346(21):1637.

  14. Gul A, Corbacioglu A, Bakirci IT, Ceylan Y. Associated anomalies and outcome of fetal aberrant right subclavian artery. Arch Gynecol Obstet 2011;(13).

  15. Zapata H, Edwards JE, Titus JL. Aberrant right subclavian artery with left aortic arch: associated cardiac anomalies. Pediatr Cardiol 1993;14(3):159-161.

  16. Gamez F, De Lean-Luis J, Pintado P,Perez R, Robinson JN, Antolin E, et al. Fetal thymus size in uncomplicated twin and singleton pregnancies. Ultrasound Obstet Gynecol 2010;36(3):302-307.

  17. Hay BN. Deletion 22q11: spectrum of associated disorders. Semin Pediatr Neurol 2007;14(3):136-139.

  18. Yagel S, Arbel R, Anteby EY, Raveh D, Achiron R. The three vessels and trachea view (3VT) in fetal cardiac scanning. Ultrasound Obstet Gynecol 2002;20(4):340-345.

  19. Lean-Luis JD, Bravo C, Gamez F, Ortiz-Quintana L. Coronal view as a complementary ultrasound approach for prenatal diagnosis of fetal aberrant right subclavian artery. Ultrasound Obstet Gynecol 2012 Jan 20.

  20. Nicolaides KH. Screening for fetal aneuploidies at 11 to 13 weeks. Prenat Diagn 2011;31(1):7-15.






>Journals >Ginecología y Obstetricia de México >Year 2012, Issue 06
 

· Journal Index 
· Links 






       
Copyright 2019