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Vol 80, No 9 (2009)
ARTICLES
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Double aortic arch: prenatal case report

Violetta Skrzypulec, Philippe Jeanty, Krzysztof Sodowski, Marcin Sodowski, Dorota Kuka, Patrycja Budziszewska
Ginekol Pol 2009;80(9).

open access

Vol 80, No 9 (2009)
ARTICLES

Abstract

Summary We have presented a case of prenatal double aortic arch, diagnosed by ultrasound, to demonstrate the importance of 3-vessel view by detecting aortic arch abnormalities. Double aortic arch is one the most common types of the vascular ring. The suspicion of a double aortic arch is raised by detecting the U-sign which is formed by the combination of both aortic arches and the left ductus arteriosus. In the 3-vessel view the ascending aorta and aortic arch are pointing to the right, whereas the left arch points to the left, and the trachea is seen between. The 4-chamber view appears normal, but the descending aorta is deviated medially. Literature review revealed an association between double aortic arch and congenital heart diseases in approximately 20% of cases; most often tetralogy of Fallot, transposition of great vessels, ventricular septal defects. Rarely there can be atresia of the segment of the aortic arch, which can be difficult to differentiate from other aortic arch anomalies associated with chromosomal abnormalities such as microdeletion of chromosome 22q11.

Abstract

Summary We have presented a case of prenatal double aortic arch, diagnosed by ultrasound, to demonstrate the importance of 3-vessel view by detecting aortic arch abnormalities. Double aortic arch is one the most common types of the vascular ring. The suspicion of a double aortic arch is raised by detecting the U-sign which is formed by the combination of both aortic arches and the left ductus arteriosus. In the 3-vessel view the ascending aorta and aortic arch are pointing to the right, whereas the left arch points to the left, and the trachea is seen between. The 4-chamber view appears normal, but the descending aorta is deviated medially. Literature review revealed an association between double aortic arch and congenital heart diseases in approximately 20% of cases; most often tetralogy of Fallot, transposition of great vessels, ventricular septal defects. Rarely there can be atresia of the segment of the aortic arch, which can be difficult to differentiate from other aortic arch anomalies associated with chromosomal abnormalities such as microdeletion of chromosome 22q11.
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Keywords

Congenital Abnormalities, vascular malformations, aortic arch, prenatal diagnosis

About this article
Title

Double aortic arch: prenatal case report

Journal

Ginekologia Polska

Issue

Vol 80, No 9 (2009)

Bibliographic record

Ginekol Pol 2009;80(9).

Keywords

Congenital Abnormalities
vascular malformations
aortic arch
prenatal diagnosis

Authors

Violetta Skrzypulec
Philippe Jeanty
Krzysztof Sodowski
Marcin Sodowski
Dorota Kuka
Patrycja Budziszewska

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