دورية أكاديمية
Increased Pulmonary-Aortic Interspace in Fetal Right Aortic Arch: A Matched Case-Control Study.
| العنوان: | Increased Pulmonary-Aortic Interspace in Fetal Right Aortic Arch: A Matched Case-Control Study. |
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| المؤلفون: | Bet BB; Department of Obstetrics and Gynecology, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.; Amsterdam Reproduction and Development, Amsterdam, The Netherlands., van Steijn AE; Department of Obstetrics and Gynecology, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands., Linskens IH; Amsterdam Reproduction and Development, Amsterdam, The Netherlands.; Department of Obstetrics and Gynecology, Amsterdam UMC Location Vrije Universiteit, Amsterdam, The Netherlands., Knobbe I; Amsterdam Reproduction and Development, Amsterdam, The Netherlands.; Department of Pediatric Cardiology, Amsterdam UMC Location Vrije Universiteit, Amsterdam, The Netherlands., van Leeuwen E; Department of Obstetrics and Gynecology, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.; Amsterdam Reproduction and Development, Amsterdam, The Netherlands., Pajkrt E; Department of Obstetrics and Gynecology, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.; Amsterdam Reproduction and Development, Amsterdam, The Netherlands., Clur SA; Amsterdam Reproduction and Development, Amsterdam, The Netherlands.; Department of Pediatric Cardiology, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.; European Reference Network for rare, low prevalence and complex diseases of the heart (ERN GUARD-Heart), Amsterdam, The Netherlands. |
| المصدر: | Fetal diagnosis and therapy [Fetal Diagn Ther] 2024; Vol. 51 (3), pp. 225-234. Date of Electronic Publication: 2024 Jan 25. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: S. Karger Country of Publication: Switzerland NLM ID: 9107463 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1421-9964 (Electronic) Linking ISSN: 10153837 NLM ISO Abbreviation: Fetal Diagn Ther Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Basel ; New York : S. Karger, 1991- |
| مواضيع طبية MeSH: | Aorta, Thoracic*/diagnostic imaging , Aorta, Thoracic*/embryology , Aorta, Thoracic*/abnormalities , Pulmonary Artery*/diagnostic imaging , Pulmonary Artery*/embryology , Pulmonary Artery*/abnormalities , Ultrasonography, Prenatal*/methods, Humans ; Female ; Case-Control Studies ; Pregnancy ; Adult ; Vena Cava, Superior/diagnostic imaging ; Vena Cava, Superior/embryology ; Vena Cava, Superior/abnormalities |
| مستخلص: | Introduction: The prenatal detection rate of a right aortic arch (RAA) has increased with the implementation of the three-vessel view (3VV) to the second-trimester anomaly scan formed by the pulmonary artery (PA), aorta (Ao), and superior vena cava (SVC). We examined the value of measuring the distance between PA and Ao in the 3VV in cases with an RAA. Methods: We conducted a case-control study in which fetuses with an isolated RAA were matched to 3 healthy controls. Using 3VV images, the distances between PA, Ao, and SVC were measured and the ratio between PA to Ao (PAAo) distance and Ao to SVC (AoSVC) distance was calculated. Results: Fifty-four RAA cases and 162 matched controls were included. The mean absolute distance PAAo was 3.1 mm in cases and 1.8 mm in controls (p < 0.001), and the mean PAAo/AoSVC ratio was 2.9 and 1.4, respectively (p < 0.001). The ROC curve of PAAo/AoSVC ratio showed a cut-off point of 1.9 with sensitivity and specificity over 87% for the diagnosis of RAA. Conclusions: The pulmonary-aortic interspace and the PAAo/AoSVC ratio were significantly larger for RAA cases as compared to controls. If an increased pulmonary-aortic interspace is observed, a PAAo/AoSVC of ≥1.9 can be helpful in the diagnosis of an RAA. (© 2024 The Author(s). Published by S. Karger AG, Basel.) |
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| فهرسة مساهمة: | Keywords: Fetal echocardiography; Prenatal diagnosis; Right aortic arch; Three-vessel and trachea view; Three-vessel view |
| تواريخ الأحداث: | Date Created: 20240125 Date Completed: 20240603 Latest Revision: 20240607 |
| رمز التحديث: | 20240607 |
| مُعرف محوري في PubMed: | PMC11151961 |
| DOI: | 10.1159/000536403 |
| PMID: | 38272013 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1421-9964 |
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| DOI: | 10.1159/000536403 |