Ultrasonographic characteristics of abnormal fetal aortic arch diagnosed by prenatal ultrasound
TANG Juansong1 LI Xinyan1▲ ZHANG Hongxia2 QIN Guican1 TANG Yanni1
1.Department of Ultrasonic, Guangxi Zhuang Autonomous Region Maternal and Child Health Care Hospital, Guangxi Zhuang Autonomous Region, Nanning 530006, China;
2.Department of Ultrasonic, Wulanchabu City Central Hospital, Inner Mongolia Autonomous Region, Wulanchabu 012000, China
Abstract:Objective To investigate the ultrasonographic characteristics of abnormal fetal aortic arch diagnosed by prenatal ultrasound. Methods The echocardiographic data of 168 pregnant women with abnormal fetal aortic arch diagnosed by prenatal ultrasound from June 2018 to June 2021 in Guangxi Zhuang Autonomous Region Maternal and Child Health Hospital were analyzed, and the ultrasonographic characteristics of abnormal aortic arch in the three-vessel trachea section, the long axis section of active bow, and the coronal section at the beginning of descending aorta were summarized. Results In 168 fetuses, 68 cases had right-sided aortic arch and branch deformity, 42 cases had left arch left catheter vagus right subclavian artery, 32 cases had aortic coarctation, 15 cases had aortic arch rupture, and 11 cases had double aortic arch rupture. Conclusion The abnormal aortic arch has characteristic ultrasonographic changes in the three-vessel trachea bow, the long axis section of the active arch, and the coronal section of the descending aorta, which has important clinical value in the diagnosis of abnormal aortic arch.
[1] 富维强,唐力,陈昕,等.应用超声心动图对先天性主动脉弓畸形病例的分析[J].中国医学影像技术,2002,23(9):1320-1322.
[2] 林芸,张雪梅,冉素真,等.产前超声横断面连续扫查三血管气管上多切面诊断胎儿心血管异常[J].中国医学影像技术,2019,35(5):725-729.
[3] 翁宗杰,郝晓艳,刘敏,等.胎儿主动脉弓及其分支异常的产前超声与血管铸型表现及基因检测分析[J].中华超声影像学杂志,2018,27(7):584-589.
[4] 李玲,赖慧华,谢纯平.产前超声诊断胎儿主动脉弓部连接异常的临床观察[J].现代诊断与治疗,2017,28(6):1129- 1131.
[5] He X,Chen J,Li G. Study on the views and methods of ultrasonic screening and diagnosis for abnormal aortic arch in infants [J]. Cardiovasc Ultrasound,2021,19(1):8.
[6] He X,Zhao N,Chen J,et al. Double aortic arch with atretic left arch distal to the origin of left subclavian artery accompanied by dyspnea:A case report and literature review [J]. Echocardiography,2019,36(12):2274-2277.
[7] 缪伟,薛新汶,王兆富,等.产前超声心动图诊断胎儿单侧肺动脉异常起源于升主动脉的应用价值[J].医学影像学杂志,2022,32(1):58-60.
[8] 宋蕾.超声三血管气管切面在胎儿主动脉弓发育异常诊断中的应用价值[J].河南医学研究,2021,30(16):3025- 3027.
[9] 全小禾.胎儿主动脉弓异常的超声诊断和畸形特征分析[J].中国实用医药,2020,15(7):72-73.
[10] 缪伟.产前超声心动图在胎儿肺动脉先天发育异常及合并畸形中的应用价值[J].医学影像学杂志,2021,31(3):481-483,488.
[11] 黄萍.胎儿主动脉弓异常的超声诊断方法研究[J].中国医药科学,2017,7(5):111-113.
[12] Li Y,Zhang X,Yan Y,et al. Prenatal Ultrasonic Diagnosis and Prognostic Analysis of Isolated Left Subclavian Artery (ILSCA) and Left Brachiocephalic Trunk(ILBCT)Malformation [J]. Pediatr Cardiol,2018,39(8):1650-1655.
[13] 钟惟娜,邓学东,殷林亮.单脐动脉胎儿伴发先天异常的产前超声诊断分析[J].中华医学超声杂志(电子版),2016,13(8):598-602.
[14] 陈艳,刘敏,何甦晖,等.产前超声诊断胎儿右位主动脉弓合并迷走左锁骨下动脉及染色体核型分析[J].福建医药杂志,2018,40(6):23-25.
[15] Wang H,Lei W,Liu J,et al. The Diastolic and Systolic Velocity-Time Integral Ratio of the Aortic Isthmus Is a Sensitive Indicator of Aortic Coarctation in Fetuses [J]. J Am Soc Echocardiogr,2019,32(11):1470-1476.
[16] 黄世梅,罗海琼,梁润和.胎儿右位主动脉弓的产前超声诊断分析[J].中国实用医药,2020,15(17):37-39.
[17] 张婵,陈书文,白新华,等.产前超声检查胎儿心脏异常表现与染色体异常的相关性[J].中国优生与遗传杂志,2019,27(8):978-980,封2.
[18] 颜幸燕,黄朝宁.产前超声诊断胎儿主动脉弓发育异常的应用价值[J].临床超声医学杂志,2017,19(4):263-265.
[19] 洪丽莉,吴庆梅,袁艳.产前超声诊断胎儿主动脉弓异常的特征分析[J].中国妇幼保健,2017,32(15):3691- 3692.
[20] 林深,王诗雅,罗舒榆.超声心动图对胎儿主动脉弓峡部血流的频谱分析[J].医学影像学杂志,2021,31(1):43-46,54.
[21] 王娅琴,谢圆圆.产前超声检查诊断胎儿膈疝合并主动脉弓离断1例[J].浙江医学,2021,43(19):2152-2153.
[22] 尹燕青,荆春丽,韩璐.胎儿右位主动脉弓产前超声诊断[J].中国医师进修杂志,2022,45(4):330-333.
[23] 苏虹,陈明,王鸿凤,等.胎儿右位主动脉弓产前超声诊断、妊娠结局及漏误诊分析[J].中华医学超声杂志(电子版),2019,16(7):511-520.
[24] 赵蓓,赵博文,周超瑜,等. 胎儿心脏超声智能导航技术产前筛查右位主动脉弓伴左位动脉导管的可行性研究[J]. 中华超声影像学杂志,2020,29(11):946-951.