三血管-气管视图和矢状旁位在产前诊断主动脉弓中断中的作用。
Usefulness of three vessel-trachea view and parasagittal plan for prenatal diagnosis of interrupted aortic arch.
机构信息
Centro Hospitalar Médio Ave, E.P.E, Vila Nova de Famalicão, Portugal.
Centro De Medicina Fetal, Serviço de Obstetrícia, Departamento da Mulher e da Medicina Reprodutiva, Centro Materno Infantil do Norte, Centro Hospitalar Universitário do Porto EPE, Porto, Portugal.
出版信息
Birth Defects Res. 2024 Jan;116(1):e2290. doi: 10.1002/bdr2.2290. Epub 2023 Dec 15.
BACKGROUND
Interrupted aortic arch (IAA) is a rare congenital heart disease characterized by loss of continuity between the ascending and the descending aorta. Prenatal diagnosis of IAA by echocardiography is challenging but nonetheless can be accomplished via a systematization of cardiac fetal evaluation.
CASE PRESENTATION
We report a case of fetal IAA type A prenatally diagnosed through two-dimensional echocardiography using both a three vessel-trachea view and a sagittal view.
CONCLUSION
Prenatal counseling regarding the diagnosis and prognosis about this anomaly is still challenging nowadays due to associated anomalies/chromosomal abnormalities who may impact the prognosis. Fetal autopsy in all cases of pregnancy termination after abnormal ultrasound findings is important in order to make a full diagnosis and characterize the anomaly.
背景
主动脉弓中断（IAA）是一种罕见的先天性心脏病，其特征是升主动脉和降主动脉之间连续性中断。通过超声心动图对 IAA 的产前诊断具有挑战性，但仍可以通过对胎儿心脏评估进行系统检查来实现。
病例介绍
我们报告了一例通过二维超声心动图在胎儿期诊断的 A 型 IAA 病例，使用了三血管气管切面和矢状切面。
结论
由于可能影响预后的相关畸形/染色体异常，目前对于这种异常的诊断和预后的产前咨询仍然具有挑战性。在所有超声异常发现后终止妊娠的病例中，进行胎儿尸检对于做出全面诊断和描述异常非常重要。
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