scholarly journals Prenatal diagnosis of double aortic arch: can we predict airway obstruction (pseudo-CHAOS) and need for airway EXIT?

2017 ◽  
Vol 49 (5) ◽  
pp. 660-661
Author(s):  
D. P. Naidu ◽  
C. Wohlmuth ◽  
H. M. Gardiner
Keyword(s):  
Prenatal Diagnosis ◽  
Airway Obstruction ◽  
Aortic Arch ◽  
Double Aortic Arch

Prenatal Diagnosis of Double Aortic Arch

2021 ◽  
Author(s):  
Helen Bornaun ◽  
Sema Süzen Çaypınar ◽  
Zeynep Gedik Özköse ◽  
Nura Fitnat Topbaş ◽  
Mustafa Behram
Keyword(s):  
Prenatal Diagnosis ◽  
Aortic Arch ◽  
Double Aortic Arch

Double aortic arch presenting as neonatal respiratory failure in the delivery room

2017 ◽  
Vol 28 (3) ◽  
pp. 476-478
Author(s):  
Marc Lee ◽  
T. K. Susheel Kumar ◽  
Govinda Paudel
Keyword(s):  
Respiratory Failure ◽  
Airway Obstruction ◽  
Aortic Arch ◽  
Respiratory Symptoms ◽  
Neonatal Period ◽  
Vascular Ring ◽  
Common Type ◽  
Double Aortic Arch ◽  
Delivery Room

AbstractRespiratory symptoms are prevalent in vascular ring anomalies, including double aortic arch, which is considered the most common type of vascular ring. However, respiratory failure owing to critical airway obstruction in the neonatal period is rare with few reported cases in the literature. We report a case of a newborn patient who required emergent intubation within the first few hours of life and was later discovered to have a double aortic arch.

scholarly journals Prenatal diagnosis of the rare association of common arterial trunk and double aortic arch

2016 ◽  
Vol 4 (7) ◽  
pp. 668-670 ◽  
Author(s):  
Andrea Rock ◽  
Osama Eltayeb ◽  
Joseph Camarda ◽  
Nina Gotteiner
Keyword(s):  
Prenatal Diagnosis ◽  
Aortic Arch ◽  
Double Aortic Arch ◽  
Rare Association ◽  
Common Arterial Trunk ◽  
Arterial Trunk

Prenatal Tracheal Obstruction Due to Double Aortic Arch: A Potential Mimic of Congenital High Airway Obstruction Syndrome

2007 ◽  
Vol 188 (1) ◽  
pp. W82-W85 ◽  
Author(s):  
Dorothy J. Shum ◽  
Matthew S. Clifton ◽  
Fergus V. Coakley ◽  
Lisa K. Hornberger ◽  
Bonnie N. Joe ◽  
...  
Keyword(s):  
Airway Obstruction ◽  
Aortic Arch ◽  
Double Aortic Arch ◽  
Tracheal Obstruction

scholarly journals Isolated Double Aortic Arch (Daa) – Prenatal Detection with Postnatal Follow-Up, Case Report and Literature Review

2018 ◽  
Vol 8 (1) ◽  
pp. 64-70
Author(s):  
Julia Murlewska ◽  
Agnieszka Żalińska ◽  
Danuta Roik ◽  
Bożena Werner ◽  
Maria Respondek-Liberska
Keyword(s):  
Case Report ◽  
Prenatal Diagnosis ◽  
Literature Review ◽  
Aortic Arch ◽  
Clinical Symptoms ◽  
Double Aortic Arch ◽  
Computer Reconstruction ◽  
Prenatal Detection ◽  
Angio Ct

Abstract This case report presents a prenatal diagnosis with postnatal confirmation (by angio CT and computer reconstruction) of an isolated double aortic arch, with no blood disturbances and with no clinical symptoms after birth. Literature review was focusing on the possible symptoms in the future. Prenatal findings should be forwarded to neonatologist and pediatrician despite clinical silence.

scholarly journals Fetal double aortic arch: prenatal sonographic and postnatal computed tomography angiography features, associated abnormalities and clinical outcomes

2020 ◽  
Author(s):  
Qiao Guo ◽  
Yifan Kong ◽  
Shi Zeng ◽  
Jiawei Zhou ◽  
Xiaofang Wang ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Prenatal Diagnosis ◽  
Aortic Arch ◽  
Clinical Outcomes ◽  
Computed Tomography Angiography ◽  
Double Aortic Arch ◽  
Chromosomal Anomalies ◽  
Branching Pattern ◽  
Associated Anomalies ◽  
Fetal Autopsy

Abstract Background: Fetal double aortic arch (DAA) malformation is a rare congenital heart disease with few reported cases in the literature. We aimed to investigate the characteristics of prenatal ultrasound and postnatal computed tomography angiography (CTA) of DAA and to describe the associated anomalies and clinical outcomes to improve prenatal diagnosis and assist in perinatal management. Methods: The obstetric ultrasound imaging databases of seven tertiary referral centers were reviewed retrospectively to identify fetuses with a prenatal diagnosis of DAA between January 2013 and December 2018. Ultrasonographic findings, associated anomalies, genetic abnormalities, postnatal CTA images, and long-term postnatal outcomes were evaluated. Results: A total of 36 cases out of 40 prenatally diagnosed DAA fetuses were confirmed by postnatal diagnosis (fetal autopsy, CTA, and surgery). In this cohort of 36 confirmed cases, 24 (67%) were isolated anomalies, while 12 (33%) were associated with intracardiac or extracardiac anomalies, and 2 (6%) had a 22q11.2 chromosome deletion. Among nine cases of pregnancy termination with a fetal autopsy, 7 had other abnormalities. Among the remaining 27 live births, 16 (59%) were asymptomatic and 11 (41%) received surgical treatment due to tracheal or esophageal compression symptoms, all with satisfactory outcomes. Prenatal echocardiography showed that DAA was mainly characterized by a bifurcation of the ascending aorta into the right and left aortic arch and the formation of a complete O-shaped vascular ring around the trachea on the three-vessel tracheal view. A variant in the aortic arch branching pattern was found for the first time. The airway obstruction, branching pattern, and atretic arch of DAA were clearly shown by postnatal CTA. Conclusions: Fetal DAA has unique features on prenatal echocardiography and postnatal CTA, and systematic prenatal examination and timely postnatal CTA evaluation are required. A certain proportion of intracardiac and extracardiac abnormalities are associated with DAA, but the probability of chromosome abnormalities is low, especially for isolated DAA.The clinical outcomes of isolated DAA are favorable, even if surgery is performed due to symptoms. Determining whether other malformations or chromosomal anomalies exist is crucial for prognosis evaluation and prenatal counseling.

scholarly journals Double aortic arch as a source of airway obstruction in a child

2015 ◽  
Vol 18 (1) ◽  
pp. 111 ◽  
Author(s):  
Sambhunath Das ◽  
Balram Airan ◽  
VinithaV Nair
Keyword(s):  
Airway Obstruction ◽  
Aortic Arch ◽  
Double Aortic Arch

Balanced Double Aortic Arch Causing Persistent Respiratory Symptoms Mimicking Asthma in an Infant

2020 ◽  
Author(s):  
Hafize Otcu Temur ◽  
Can Yilmaz Yozgat ◽  
Selcuk Uzuner ◽  
Murat Ugurlucan ◽  
Hakan Yazan ◽  
...  
Keyword(s):  
Respiratory Distress ◽  
Airway Obstruction ◽  
Aortic Arch ◽  
Transthoracic Echocardiography ◽  
Respiratory Symptoms ◽  
Vascular Ring ◽  
Double Aortic Arch ◽  
Rare Anomaly

AbstractDouble aortic arch (DAA) is a common form of complete vascular ring. The condition leads to airway obstruction and compression of the esophagus. A balanced type of DAA is an extremely rare anomaly. The anatomical aberration cannot be easily distinguished by transthoracic echocardiography when an infant has chronic respiratory distress. Herein we presented a case of an 11-month-old infant who had chronic respiratory distress and a balanced type of DAA.

scholarly journals Fetal double aortic arch: prenatal sonographic and postnatal computed tomography angiography features, associated abnormalities and clinical outcomes

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Qiao Guo ◽  
Yifan Kong ◽  
Shi Zeng ◽  
Jiawei Zhou ◽  
Xiaofang Wang ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Prenatal Diagnosis ◽  
Aortic Arch ◽  
Clinical Outcomes ◽  
Computed Tomography Angiography ◽  
Double Aortic Arch ◽  
Chromosomal Anomalies ◽  
Branching Pattern ◽  
Associated Anomalies ◽  
Fetal Autopsy

Abstract Background Fetal double aortic arch (DAA) malformation is a rare congenital heart disease with few reported cases in the literature. We aimed to investigate the characteristics of prenatal ultrasound and postnatal computed tomography angiography (CTA) of DAA and to describe the associated anomalies and clinical outcomes to improve prenatal diagnosis and assist in perinatal management. Methods The obstetric ultrasound imaging databases of seven tertiary referral centers were reviewed retrospectively to identify fetuses with a prenatal diagnosis of DAA between January 2013 and December 2018. Ultrasonographic findings, associated anomalies, genetic abnormalities, postnatal CTA images, and long-term postnatal outcomes were evaluated. Results A total of 36 cases out of 40 prenatally diagnosed DAA fetuses were confirmed by postnatal diagnosis (fetal autopsy, CTA, and surgery). In this cohort of 36 confirmed cases, 24 (67%) were isolated anomalies, while 12 (33%) were associated with intracardiac or extracardiac anomalies, and 2 (6%) had a 22q11.2 chromosome deletion. Among nine cases of pregnancy termination with a fetal autopsy, 7 had other abnormalities. Among the remaining 27 live births, 16 (59%) were asymptomatic and 11 (41%) received surgical treatment due to tracheal or esophageal compression symptoms, all with satisfactory outcomes. Prenatal echocardiography showed that DAA was mainly characterized by a bifurcation of the ascending aorta into the right and left aortic arch and the formation of a complete O-shaped vascular ring around the trachea on the three-vessel tracheal view. A variant in the aortic arch branching pattern was found for the first time. The airway obstruction, branching pattern, and atretic arch of DAA were clearly shown by postnatal CTA. Conclusions Fetal DAA has unique features on prenatal echocardiography and postnatal CTA, and systematic prenatal examination and timely postnatal CTA evaluation are required. A certain proportion of intracardiac and extracardiac abnormalities are associated with DAA, but the probability of chromosome abnormalities is low, especially for isolated DAA.The clinical outcomes of isolated DAA are favorable, even if surgery is performed due to symptoms. Determining whether other malformations or chromosomal anomalies exist is crucial for prognosis evaluation and prenatal counseling.

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