Prenatal Diagnosis of Vascular Ring: Evaluation of Fetal Diagnosis and Postnatal Outcomes

2021 ◽  
Author(s):  
Safwat Aly ◽  
Koyelle Papneja ◽  
Wadi Mawad ◽  
Mike Seed ◽  
Edgar Jaeggi ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Vascular Ring ◽  
Fetal Diagnosis

scholarly journals Double trouble: fetal diagnosis of a pulmonary artery sling and vascular ring

2016 ◽  
Vol 4 (12) ◽  
pp. 1187-1190 ◽  
Author(s):  
Jesse W. Lee ◽  
Beth F. Printz ◽  
Sanjeet R. Hegde ◽  
Lisa A. Vargas ◽  
Heather Y. Sun
Keyword(s):  
Pulmonary Artery ◽  
Vascular Ring ◽  
Pulmonary Artery Sling ◽  
Fetal Diagnosis

scholarly journals Two Neonates with Congenital Hydrocolpos

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Vydehi Murthy ◽  
Jessica Costalez ◽  
Julie Weiner ◽  
Kristin Voos
Keyword(s):  
Prenatal Diagnosis ◽  
Reproductive Tract ◽  
Abdominal Mass ◽  
Rare Condition ◽  
Mass Effect ◽  
Cystic Mass ◽  
Sacrococcygeal Teratoma ◽  
Mri Imaging ◽  
Fetal Diagnosis ◽  
High Index Of Suspicion

Introduction. Neonatal hydrocolpos is a rare condition. Hydrocolpos is cystic dilatation of the vagina with fluid accumulation due to a combination of stimulation of secretary glands of the reproductive tract and vaginal obstruction. The differential for a neonatal presentation of lower abdominal mass includes urogenital anomalies, Hirschsprung’s, disease or sacrococcygeal teratoma. Prenatal diagnosis and early newborn imaging studies leads to early detection and treatment of these cases.Case. We report here two cases of neonatal hydrocolpos with prenatal diagnosis of lower abdominal mass. Postnatally, ultrasound, MRI imaging, and cystoscopy confirmed large cystic mass as hydrocolpos with distal vaginal obstruction. Both patients had enlarged renal system secondary to mass effect.Conclusion. High index of suspicion for hydrocolpos in a newborn presenting with fetal diagnosis of infraumbilical abdominal mass will facilitate timely intervention and prevention of complications.

Prenatal MRI Diagnosis of Hirschsprung's Disease at 29 Weeks' Gestational Age in a Fetus with Heterotaxy and Polysplenia Syndrome

2015 ◽  
Vol 40 (3) ◽  
pp. 235-240 ◽  
Author(s):  
Mariana L. Meyers ◽  
Timothy Crombleholme
Keyword(s):  
Prenatal Diagnosis ◽  
Gestational Age ◽  
Postnatal Care ◽  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Fetal Mri ◽  
Fetal Diagnosis ◽  
Polysplenia Syndrome ◽  
Prenatal Mri ◽  
Mri Diagnosis

Prenatal diagnosis of Hirschsprung's disease is extremely rare and has only been suggested by ultrasound. This report presents a 29-week fetus with heterotaxy and polysplenia syndrome and prenatal diagnosis of nonrotation of the bowel and Hirschsprung's disease by fetal MRI. None of the previously reported findings in the literature suggestive of distal bowel obstruction were noted in this case. Rather, there was a diminutive size of the rectosigmoid compared to the rest of the colon. Fetal MRI has become an important tool in the fetal diagnosis of multiple anomalies and can aid in perinatal and immediate postnatal care of patients, such as those with Hirschsprung's disease.

Prenatal diagnosis of complete vascular ring using high‐definition flow render mode and spatiotemporal image correlation

2021 ◽  
Vol 38 (3) ◽  
pp. 488-492
Author(s):  
Tian‐gang Li ◽  
Quan‐lin Li ◽  
Bin Ma ◽  
Ping‐an Qi ◽  
Jian Wang ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Vascular Ring ◽  
Image Correlation ◽  
High Definition ◽  
Spatiotemporal Image Correlation

scholarly journals GW26-e0237 Prenatal diagnosis of vascular ring by fetal echocardiopraphy combined with STIC technique

2015 ◽  
Vol 66 (16) ◽  
pp. C225
Author(s):  
Yu Wang ◽  
Wei Han ◽  
Liu Hong ◽  
Haiyan Cao ◽  
Yali Yang ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Vascular Ring

scholarly journals Current approaches on non-invasive prenatal diagnosis: Prenatal genomics, transcriptomics, personalized fetal diagnosis

2014 ◽  
Vol 11 (4) ◽  
pp. 233-241 ◽  
Author(s):  
Tuba Günel ◽  
Mohammad Kazem Hosseini ◽  
Ece Gümüşoğlu ◽  
Görkem Zeybek ◽  
İsmail Dölekçap ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Fetal Diagnosis ◽  
Non Invasive

scholarly journals Prenatal diagnosis of vascular ring: evaluation of fetal diagnosis and postnatal outcomes

2021 ◽  
Vol 22 (Supplement_1) ◽  
Author(s):  
S Aly ◽  
K Papneja ◽  
W Mawad ◽  
E Jaeggi ◽  
SJ Yoo
Keyword(s):  
Prenatal Diagnosis ◽  
Postoperative Complications ◽  
Aortic Arch ◽  
Surgical Repair ◽  
Vascular Ring ◽  
Cross Sectional ◽  
Residual Symptoms ◽  
Postnatal Diagnosis ◽  
Cross Sectional Imaging ◽  
Sectional Imaging

Abstract Funding Acknowledgements Type of funding sources: None. Background The performance of fetal echocardiogram in diagnosing vascular ring (VR) and its impact on postnatal outcomes has not been well examined. Methods We reviewed all patients with VR diagnosis from 2000-2020. Results 50 patients with antenatal diagnosis of VR; 42(84%) with right aortic arch aberrant left subclavian artery and left-sided ductus arteriosus ((RAA-ALS) and 8(16%) with double aortic arch (DAA) were compared to 120 patients with postnatal diagnosis; 90(75%) with DAA, 22(18%) with RAA-ALS (Table 1). Prenatal diagnosis of VR increased over study period; 4 vs 31, 10 vs 29, 14 vs 25, 22 vs 35 between 2000-2005, 2005-2010, 2010-2015, and 2015-2020 respectively, p< 0.01. Prenatal diagnosis of VR was associated with less symptoms [26(52%) vs 72(60%), p < 0.003] and less cross-sectional imaging [22(44%) vs 82(69%), p = 0.0001]. Postnatal diagnosis of VR was associated with more surgical interventions (102(85%) vs 28(56%), p = 0.002), later surgical repair (22.9 ± 35 vs 12.6 ± 10.2 months, p < 0.01), more postoperative complications [8/102 (7.8%) vs 1/28 (3.5%), p = 0.04] and more residual symptoms (2/28(7%) vs 30/102(29%), p = 0.001 respectively]. Conclusion Prenatal diagnosis of VR has evolved over time. RAA-ALS versus DAA were dominant in the prenatally and postnatally diagnosed cohorts respectively. Prenatal diagnosis of VR was associated less symptoms, less cross-sectional imaging, earlier age of surgical intervention and less residual symptoms. Table 1 Prenatal Diagnosis (N = 50) Postnatal Diagnosis (N = 120) p-value Gestational Age (weeks) 39 ± 3 38 ± 2 0.9 Male (%) 31 (62%) 69(58%) 0.8 Subtype of vascular ring: Double aortic arch RAA-ALSA Others 8 (16%) 42 (80 %) 0 (0 %) 90 (72%) 22 (17%) 8 (11%) 0.002 0.01 Associated intracardiac CHD: VSD TOF DORV AVSD Coarctation of aorta Others 11 (22%) 1 1 3 0 3 3 24 (20%) 5 7 2 2 3 5 0.8 Associated genetic diagnosis: 22q11 deletion Trisomy 21 Others 9 (18%) 6 3 0 32 (26%) 29 3 0 0.1 Symptomatic presentation: Respiratory Gastrointestinal 26 (52 %) 15 11 72 (60 %) 57 15 <0.03 Age at first symptoms (month) 3.2 ± 2.8 21.6 ± 37 0.01 Diagnostic modalities: Fetal echocardiogram Postnatal echocardiogram Barium swallow Bronchoscopy CT scan MRI 50 (100%) 50 (100%) 2 (4%) 3 (6%) 18 (36 %) 4 (8%) 0 (0%) 120 (100%) 23 (25 %) 18 (15 %) 65 (54%) 7 (14%) Surgical repair 28 (56%) 102 (85%) 0.02 Age at surgical repair (month) 12.6 ± 10.2 22.9 ± 35 <0.01 Postoperative complications 1 (3%) 8 (7%) 0.03 Residual symptoms 2 (1%) 30 (25%) 0.001 Age at most recent follow up (mo) 26 ± 7 60 ± 7 0.02 Table 1: Comparison of patients with prenatal versus postnatal diagnosis of vascular ring

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