Fetal Aortic Arch Anomalies: Key Sonographic Views for Their Differential Diagnosis and Clinical Implications Using the Cardiovascular System Sonographic Evaluation Protocol
Abstract
Aortic arch anomalies are present in 1% to 2% of the general population and are commonly associated with congenital heart disease, chromosomal defects, and tracheaesophageal compression in postnatal life. The sonographically based detection of aortic arch anomalies lies in the 3‐vessel and trachea view. Although highly sensitive, this view alone does not allow identification of the aortic arch branching pattern, which prevents an accurate diagnosis. The systematic addition of a subclavian artery view as part of a standardized procedure may be useful in the differential diagnosis of these conditions. We describe the sonographic assessment of fetal aortic arch anomalies by combining 2 fetal transverse views: the 3‐vessel and trachea view and the subclavian artery view, which are included in the cardiovascular system sonographic evaluation protocol. We also review the sonographic findings and the clinical implications of fetal aortic arch anomalies.
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The three-vessel view and closely related three-vessels-and-trachea view may improve detection of outflow tract, aortic arch and systemic vein anomalies.
“The three-vessel view and closely related three-vessels-and-trachea view may improve detection of outflow tract, aortic arch and systemic vein anomalies (Figure 4d,e) 73-77 .”
From <scp>ISUOG</scp> Practice Guidelines (updated): performance of the routine mid‐trimester fetal ultrasound scan (2022) · cites this paper as [76]
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Aortic Uncrossing for Circumflex Aorta
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Correlation between Bovine Arch and Thoracic Aortic Disease: A Literature Review
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- Authors
- Bravo, C., Gámez, F., Pérez, R., Álvarez, T., & De León-Luis, J.
- Affiliations
- Universidad Complutense de Madrid (ES)
- Venue
- Journal of Ultrasound in Medicine
- Publisher
- Wiley
- Published
- 2015-12-29
- Volume
- 35
- Issue
- 2
- Pages
- 237-251
- ISSN
- 0278-4297 (ISSN-L)
- 1550-9613
- OpenAlex
- W2277417691
- Cited by
- 70
- References
- 58
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 7 · 2023: 10 · 2022: 8 · 2021: 10 · 2020: 6 · 2019: 5 · 2018: 9 · 2017: 2 · 2016: 5
- FWCI
- 0.69
- Type
- journal article
- Language
- en
- Update notices
- erratum (2016-06-01)
- Open access
- closed
- Locations
- Journal of Ultrasound in Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Fondo de Investigaciones Sanitarias (FIS PI13-02769)
- Topics
- Health Sciences › Medicine › Epidemiology › Congenital Heart Disease Studies
- Health Sciences › Medicine › Surgery › Vascular anomalies and interventions
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Screening and Diagnostics
- Keywords
- fetal echocardiography, aortic arch branching pattern, congenital heart disease, tracheoesophageal compression, prenatal diagnosis
- MeSH terms
- Aorta, Thoracic, Cardiovascular System, Clinical Protocols, Diagnosis, Differential, Female, Humans, Pregnancy, Ultrasonography, Prenatal
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