Volume 7 Issue 3
May  2016
Turn off MathJax
Article Contents
Yun-shu OUYANG, Yi-xiu ZHANG, Hua MENG, Yu-xin JIANG, Qing DAI, Xi-ning WU, Da-chun ZHAO, Xin-yan LIU. Three-vessel and Tracheal View in the Diagnosis of Fetal Aortic Arch Anomalies[J]. Medical Journal of Peking Union Medical College Hospital, 2016, 7(3): 185-189. doi: 10.3969/j.issn.1674-9081.2016.03.005
Citation: Yun-shu OUYANG, Yi-xiu ZHANG, Hua MENG, Yu-xin JIANG, Qing DAI, Xi-ning WU, Da-chun ZHAO, Xin-yan LIU. Three-vessel and Tracheal View in the Diagnosis of Fetal Aortic Arch Anomalies[J]. Medical Journal of Peking Union Medical College Hospital, 2016, 7(3): 185-189. doi: 10.3969/j.issn.1674-9081.2016.03.005

Three-vessel and Tracheal View in the Diagnosis of Fetal Aortic Arch Anomalies

doi: 10.3969/j.issn.1674-9081.2016.03.005
More Information
  • Corresponding author: MENG Hua   Tel: 010-69155494, E-mail: menghua_pumch@163.com
  • Received Date: 2015-06-18
  • Publish Date: 2016-05-30
  •   Objective  To investigate the diagnostic value of three-vessel and tracheal (3VT) view in fetal aortic arch anomalies.  Methods  Ultrasound findings of 17 fetuses with aortic arch anomalies diagnosed in Peking Union Medical College Hospital between May 2010 and May 2014 were reviewed and compared with the findings of postnatal ultrasonography and pathological examinations to analyze the ultrasound features of aortic arch anomalies of different types, focusing on the importance of 3VT view.  Results  In all 17 cases the 3VT view was abnormal. 3 cases were aortic coarctation, mainly manifested as reduced diameter of the aortic arch; 7 cases were interrupted aortic arch, in which there was discontinuity between the thinning aortic arch and the descending aorta; 5 cases were right aortic arch (RAA) with aberrant left subclavian artery, with a 'U'-shaped vascular loop around the trachea; and 2 cases were RAA with mirror-image branching, with the aortic arch situated to the right of the trachea and not forming a V- or U-shaped confluence with the ductus.  Conclusions  The 3VT view is avery sensitive view to effectively diagnose fetal aortic arch anomalies. Meticulous ultrasound examination focusing on this view during second trimester may disclose the presence of such anomalies and help provide the appropriate genetic counselling.
  • loading
  • [1] Yoo SJ, Min JY, Lee YH, et al. Fetal sonographic diagnosis of aortic arch anomalies[J]. Ultrasound Obstet Gynecol, 2003, 22:535-546. doi:  10.1002/uog.897
    [2] 李胜利, 欧阳淑媛, 姚远, 等.先天性主动脉弓及其分支畸形产前超声诊断及围产期结局[J].中华医学超声杂志:电子版, 2011, 8:1675-1689. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zhyxcszz201108007
    [3] 樊宜珍, 刘静华, 郑洪平, 等.胎儿主动脉弓异常的超声诊断和畸形特征分析[J].中国医药导刊, 2013, 15:1621-1622. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zgyydk201310038
    [4] Gardiner H, Chaoui R. The fetal three-vessel and tracheal view revisited[J]. Semin Fetal Neonatal Med, 2013, 18:261-268. doi:  10.1016/j.siny.2013.01.007
    [5] Kenny D, Hijazi ZM. Coarctation of the aorta: from fetal life to adulthood[J]. Cardiol J, 2011, 18:487-495. http://cn.bing.com/academic/profile?id=3aeaf28daf54bda1baf9a6bcae976f26&encoded=0&v=paper_preview&mkt=zh-cn
    [6] Celoria GC, Patton RB. Congenital absence of the aortic arch[J]. Am Heart J, 1959, 58:407-413. doi:  10.1016/0002-8703(59)90157-7
    [7] Kanne JP, Godwin JD. Right aortic arch and its variants[J]. J Cardiovasc Comput Tomogr, 2010, 4:293-300. doi:  10.1016/j.jcct.2010.07.002
    [8] Yagel S, Arbel R, Anteby EY, et al. The three vessels and trachea view (3VT) in fetal cardiac scanning[J]. Ultrasound Obstet Gynecol, 2002, 20: 340-345. doi:  10.1046/j.1469-0705.2002.00801.x
    [9] Jowett V, Aparicio P, Santhakumaran S, et al. Sonographic predictors of surgery in fetal coarctation of the aorta[J]. Ultrasound Obstet Gynecol, 2012, 40:47-54. http://cn.bing.com/academic/profile?id=0050f3072d45db6d29b4d2ea6ca7359e&encoded=0&v=paper_preview&mkt=zh-cn
    [10] Sivanandam S, Nyholm J, Wey A, et al. Right ventricular enlargement in utero: is it coarctation?[J]. Pediatr Cardiol, 2015, 36:1376-1381. doi:  10.1007/s00246-015-1168-7
    [11] Jung E, Won HS, Lee PR, et al. Clinical implication of isolated right dominant heart in fetus[J]. Prenat Diagn, 2007, 27:695-698. doi:  10.1002/pd.1756
    [12] Slodki M, Moszura T, Janiak K, et al. The three-vessel view in the fetal mediastinum in the diagnosis of interrupted aortic arch[J]. Ultrasound Med Biol, 2011, 37:1808-1813. doi:  10.1016/j.ultrasmedbio.2011.06.002
    [13] Volpe P, Tuo G, De Robertis V, et al. Fetal interrupted aortic arch: 2D-4D echocardiography, associations and outcome[J]. Ultrasound Obstet Gynecol, 2010, 35:302-309. doi:  10.1002/uog.7530
    [14] Van Mierop LH, Kutsche LM. Interruption of the aortic arch and coarctation of the aorta: pathogenetic relations[J]. Am J Cardiol, 1984, 54:829-834. doi:  10.1016/S0002-9149(84)80215-5
    [15] Vogel M, Vernon MM, McElhinney DB. Fetal diagnosis of interrupted aortic arch[J]. Am J Cardiol, 2010, 105:727-734. doi:  10.1016/j.amjcard.2009.10.053
    [16] Chen CP, Huang MC, Chen YY, et al. Prenatal diagnosis of de novo interstitial deletions involving 5q23.1-q23.3 and 18q12.1-q12.3 by array CGH using uncultured amniocytes in a pregnancy with fetal interrupted aortic arch and atrial septal defect[J]. Gene, 2013, 531:496-501. doi:  10.1016/j.gene.2013.09.010
    [17] Galindo A, Nieto O, Nieto MT, et al. Prenatal diagnosis of right aortic arch: associated findings, pregnancy outcome, and clinical significance of vascular rings[J]. Prenat Diagn, 2009, 29:975-981. doi:  10.1002/pd.2327
    [18] Lafouge A, Quarello E. Right aortic arch and ductus arteriosus: a case diagnosed during the first trimester of pregnancy[J]. Diagn Interv Imaging, 2014, 95:877-879. doi:  10.1016/j.diii.2014.03.015
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(4)  / Tables(1)

    Article Metrics

    Article views (239) PDF downloads(5) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return