Prenatal diagnosis of vascular rings and outcome

Background : Vascular rings (VRs) present with varied symptoms and may result in significant morbidity before an accurate diagnosis is made. Prenatal diagnosis may be useful to plan surgery after birth. Objectives : The purpose of the study was to see the feasibility of accurate diagnosis of VR duri...
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Autor*in:	Shweta Bakhru [verfasserIn] Nageswara Rao Koneti [verfasserIn] Sujata Patil [verfasserIn] Bhargavi Dhulipudi [verfasserIn] Tapan Dash [verfasserIn] Geeta Kolar [verfasserIn] Suseela Vavilala [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2021

Schlagwörter:	double aortic arch fetal echocardiogram prenatal diagnosis right aortic arch vascular ring

Übergeordnetes Werk:	In: Annals of Pediatric Cardiology - Wolters Kluwer Medknow Publications, 2008, 14(2021), 3, Seite 359-365
Übergeordnetes Werk:	volume:14 ; year:2021 ; number:3 ; pages:359-365

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.4103/apc.APC_108_20

Katalog-ID:	DOAJ076654877

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520			\|a Background : Vascular rings (VRs) present with varied symptoms and may result in significant morbidity before an accurate diagnosis is made. Prenatal diagnosis may be useful to plan surgery after birth. Objectives : The purpose of the study was to see the feasibility of accurate diagnosis of VR during antenatal ultrasound examination and describe their outcome. Methods : This is a retrospective observational study between January 2014 and December 2019. Vascular rings were diagnosed on the basis of three vessel tracheal view and neck vessels arrangements on fetal echocardiogram. Postnatal evaluation by transthoracic echocardiography and computerized tomography angiogram was performed. Surgical repair was done as per standard indications. Results : A total of 35 cases of fetal VRs (median gestational age: 24 weeks [range: 19–35]) were diagnosed during the study period. There were four dichorionic diamniotic twin gestation pregnancies. The right aortic arch (RAA) with anomalous left subclavian artery (ALSA) was suspected in 31 fetuses, double aortic arch (DAA) in 3, and circumflex aorta in 1. Twenty-six (74%) patients had successful deliveries. One patient had a spontaneous miscarriage, 2 underwent termination, and 6 were lost to follow-up. Postnatal assessment showed RAA with ALSA in 18, DAA in 5, circumflex aorta in 2, and no abnormality in 1. Twenty-two (86%) were operated (RAA with ALSA: 17, DAA: 4, and circumflex aorta: 1) and four were waiting for surgery. Two patients died due to prematurity-related complications. All survivors are symptom free during follow-up (median: 2.24; range: 0.2–5.6 years). Conclusions : Fetal echocardiography enables prenatal diagnosis and planning of postnatal repair of VRs.
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allfields	10.4103/apc.APC_108_20 doi (DE-627)DOAJ076654877 (DE-599)DOAJcaa860a518344ba88311ddd11cf1c750 DE-627 ger DE-627 rakwb eng RJ1-570 RC666-701 Shweta Bakhru verfasserin aut Prenatal diagnosis of vascular rings and outcome 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background : Vascular rings (VRs) present with varied symptoms and may result in significant morbidity before an accurate diagnosis is made. Prenatal diagnosis may be useful to plan surgery after birth. Objectives : The purpose of the study was to see the feasibility of accurate diagnosis of VR during antenatal ultrasound examination and describe their outcome. Methods : This is a retrospective observational study between January 2014 and December 2019. Vascular rings were diagnosed on the basis of three vessel tracheal view and neck vessels arrangements on fetal echocardiogram. Postnatal evaluation by transthoracic echocardiography and computerized tomography angiogram was performed. Surgical repair was done as per standard indications. Results : A total of 35 cases of fetal VRs (median gestational age: 24 weeks [range: 19–35]) were diagnosed during the study period. There were four dichorionic diamniotic twin gestation pregnancies. The right aortic arch (RAA) with anomalous left subclavian artery (ALSA) was suspected in 31 fetuses, double aortic arch (DAA) in 3, and circumflex aorta in 1. Twenty-six (74%) patients had successful deliveries. One patient had a spontaneous miscarriage, 2 underwent termination, and 6 were lost to follow-up. Postnatal assessment showed RAA with ALSA in 18, DAA in 5, circumflex aorta in 2, and no abnormality in 1. Twenty-two (86%) were operated (RAA with ALSA: 17, DAA: 4, and circumflex aorta: 1) and four were waiting for surgery. Two patients died due to prematurity-related complications. All survivors are symptom free during follow-up (median: 2.24; range: 0.2–5.6 years). Conclusions : Fetal echocardiography enables prenatal diagnosis and planning of postnatal repair of VRs. double aortic arch fetal echocardiogram prenatal diagnosis right aortic arch vascular ring Medicine R Pediatrics Diseases of the circulatory (Cardiovascular) system Nageswara Rao Koneti verfasserin aut Sujata Patil verfasserin aut Bhargavi Dhulipudi verfasserin aut Tapan Dash verfasserin aut Geeta Kolar verfasserin aut Suseela Vavilala verfasserin aut In Annals of Pediatric Cardiology Wolters Kluwer Medknow Publications, 2008 14(2021), 3, Seite 359-365 (DE-627)568923138 (DE-600)2430956-4 09745149 nnns volume:14 year:2021 number:3 pages:359-365 https://doi.org/10.4103/apc.APC_108_20 kostenfrei https://doaj.org/article/caa860a518344ba88311ddd11cf1c750 kostenfrei http://www.annalspc.com/article.asp?issn=0974-2069;year=2021;volume=14;issue=3;spage=359;epage=365;aulast=Bakhru kostenfrei https://doaj.org/toc/0974-2069 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2021 3 359-365
spelling	10.4103/apc.APC_108_20 doi (DE-627)DOAJ076654877 (DE-599)DOAJcaa860a518344ba88311ddd11cf1c750 DE-627 ger DE-627 rakwb eng RJ1-570 RC666-701 Shweta Bakhru verfasserin aut Prenatal diagnosis of vascular rings and outcome 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background : Vascular rings (VRs) present with varied symptoms and may result in significant morbidity before an accurate diagnosis is made. Prenatal diagnosis may be useful to plan surgery after birth. Objectives : The purpose of the study was to see the feasibility of accurate diagnosis of VR during antenatal ultrasound examination and describe their outcome. Methods : This is a retrospective observational study between January 2014 and December 2019. Vascular rings were diagnosed on the basis of three vessel tracheal view and neck vessels arrangements on fetal echocardiogram. Postnatal evaluation by transthoracic echocardiography and computerized tomography angiogram was performed. Surgical repair was done as per standard indications. Results : A total of 35 cases of fetal VRs (median gestational age: 24 weeks [range: 19–35]) were diagnosed during the study period. There were four dichorionic diamniotic twin gestation pregnancies. The right aortic arch (RAA) with anomalous left subclavian artery (ALSA) was suspected in 31 fetuses, double aortic arch (DAA) in 3, and circumflex aorta in 1. Twenty-six (74%) patients had successful deliveries. One patient had a spontaneous miscarriage, 2 underwent termination, and 6 were lost to follow-up. Postnatal assessment showed RAA with ALSA in 18, DAA in 5, circumflex aorta in 2, and no abnormality in 1. Twenty-two (86%) were operated (RAA with ALSA: 17, DAA: 4, and circumflex aorta: 1) and four were waiting for surgery. Two patients died due to prematurity-related complications. All survivors are symptom free during follow-up (median: 2.24; range: 0.2–5.6 years). Conclusions : Fetal echocardiography enables prenatal diagnosis and planning of postnatal repair of VRs. double aortic arch fetal echocardiogram prenatal diagnosis right aortic arch vascular ring Medicine R Pediatrics Diseases of the circulatory (Cardiovascular) system Nageswara Rao Koneti verfasserin aut Sujata Patil verfasserin aut Bhargavi Dhulipudi verfasserin aut Tapan Dash verfasserin aut Geeta Kolar verfasserin aut Suseela Vavilala verfasserin aut In Annals of Pediatric Cardiology Wolters Kluwer Medknow Publications, 2008 14(2021), 3, Seite 359-365 (DE-627)568923138 (DE-600)2430956-4 09745149 nnns volume:14 year:2021 number:3 pages:359-365 https://doi.org/10.4103/apc.APC_108_20 kostenfrei https://doaj.org/article/caa860a518344ba88311ddd11cf1c750 kostenfrei http://www.annalspc.com/article.asp?issn=0974-2069;year=2021;volume=14;issue=3;spage=359;epage=365;aulast=Bakhru kostenfrei https://doaj.org/toc/0974-2069 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2021 3 359-365
allfields_unstemmed	10.4103/apc.APC_108_20 doi (DE-627)DOAJ076654877 (DE-599)DOAJcaa860a518344ba88311ddd11cf1c750 DE-627 ger DE-627 rakwb eng RJ1-570 RC666-701 Shweta Bakhru verfasserin aut Prenatal diagnosis of vascular rings and outcome 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background : Vascular rings (VRs) present with varied symptoms and may result in significant morbidity before an accurate diagnosis is made. Prenatal diagnosis may be useful to plan surgery after birth. Objectives : The purpose of the study was to see the feasibility of accurate diagnosis of VR during antenatal ultrasound examination and describe their outcome. Methods : This is a retrospective observational study between January 2014 and December 2019. Vascular rings were diagnosed on the basis of three vessel tracheal view and neck vessels arrangements on fetal echocardiogram. Postnatal evaluation by transthoracic echocardiography and computerized tomography angiogram was performed. Surgical repair was done as per standard indications. Results : A total of 35 cases of fetal VRs (median gestational age: 24 weeks [range: 19–35]) were diagnosed during the study period. There were four dichorionic diamniotic twin gestation pregnancies. The right aortic arch (RAA) with anomalous left subclavian artery (ALSA) was suspected in 31 fetuses, double aortic arch (DAA) in 3, and circumflex aorta in 1. Twenty-six (74%) patients had successful deliveries. One patient had a spontaneous miscarriage, 2 underwent termination, and 6 were lost to follow-up. Postnatal assessment showed RAA with ALSA in 18, DAA in 5, circumflex aorta in 2, and no abnormality in 1. Twenty-two (86%) were operated (RAA with ALSA: 17, DAA: 4, and circumflex aorta: 1) and four were waiting for surgery. Two patients died due to prematurity-related complications. All survivors are symptom free during follow-up (median: 2.24; range: 0.2–5.6 years). Conclusions : Fetal echocardiography enables prenatal diagnosis and planning of postnatal repair of VRs. double aortic arch fetal echocardiogram prenatal diagnosis right aortic arch vascular ring Medicine R Pediatrics Diseases of the circulatory (Cardiovascular) system Nageswara Rao Koneti verfasserin aut Sujata Patil verfasserin aut Bhargavi Dhulipudi verfasserin aut Tapan Dash verfasserin aut Geeta Kolar verfasserin aut Suseela Vavilala verfasserin aut In Annals of Pediatric Cardiology Wolters Kluwer Medknow Publications, 2008 14(2021), 3, Seite 359-365 (DE-627)568923138 (DE-600)2430956-4 09745149 nnns volume:14 year:2021 number:3 pages:359-365 https://doi.org/10.4103/apc.APC_108_20 kostenfrei https://doaj.org/article/caa860a518344ba88311ddd11cf1c750 kostenfrei http://www.annalspc.com/article.asp?issn=0974-2069;year=2021;volume=14;issue=3;spage=359;epage=365;aulast=Bakhru kostenfrei https://doaj.org/toc/0974-2069 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2021 3 359-365
allfieldsGer	10.4103/apc.APC_108_20 doi (DE-627)DOAJ076654877 (DE-599)DOAJcaa860a518344ba88311ddd11cf1c750 DE-627 ger DE-627 rakwb eng RJ1-570 RC666-701 Shweta Bakhru verfasserin aut Prenatal diagnosis of vascular rings and outcome 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background : Vascular rings (VRs) present with varied symptoms and may result in significant morbidity before an accurate diagnosis is made. Prenatal diagnosis may be useful to plan surgery after birth. Objectives : The purpose of the study was to see the feasibility of accurate diagnosis of VR during antenatal ultrasound examination and describe their outcome. Methods : This is a retrospective observational study between January 2014 and December 2019. Vascular rings were diagnosed on the basis of three vessel tracheal view and neck vessels arrangements on fetal echocardiogram. Postnatal evaluation by transthoracic echocardiography and computerized tomography angiogram was performed. Surgical repair was done as per standard indications. Results : A total of 35 cases of fetal VRs (median gestational age: 24 weeks [range: 19–35]) were diagnosed during the study period. There were four dichorionic diamniotic twin gestation pregnancies. The right aortic arch (RAA) with anomalous left subclavian artery (ALSA) was suspected in 31 fetuses, double aortic arch (DAA) in 3, and circumflex aorta in 1. Twenty-six (74%) patients had successful deliveries. One patient had a spontaneous miscarriage, 2 underwent termination, and 6 were lost to follow-up. Postnatal assessment showed RAA with ALSA in 18, DAA in 5, circumflex aorta in 2, and no abnormality in 1. Twenty-two (86%) were operated (RAA with ALSA: 17, DAA: 4, and circumflex aorta: 1) and four were waiting for surgery. Two patients died due to prematurity-related complications. All survivors are symptom free during follow-up (median: 2.24; range: 0.2–5.6 years). Conclusions : Fetal echocardiography enables prenatal diagnosis and planning of postnatal repair of VRs. double aortic arch fetal echocardiogram prenatal diagnosis right aortic arch vascular ring Medicine R Pediatrics Diseases of the circulatory (Cardiovascular) system Nageswara Rao Koneti verfasserin aut Sujata Patil verfasserin aut Bhargavi Dhulipudi verfasserin aut Tapan Dash verfasserin aut Geeta Kolar verfasserin aut Suseela Vavilala verfasserin aut In Annals of Pediatric Cardiology Wolters Kluwer Medknow Publications, 2008 14(2021), 3, Seite 359-365 (DE-627)568923138 (DE-600)2430956-4 09745149 nnns volume:14 year:2021 number:3 pages:359-365 https://doi.org/10.4103/apc.APC_108_20 kostenfrei https://doaj.org/article/caa860a518344ba88311ddd11cf1c750 kostenfrei http://www.annalspc.com/article.asp?issn=0974-2069;year=2021;volume=14;issue=3;spage=359;epage=365;aulast=Bakhru kostenfrei https://doaj.org/toc/0974-2069 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2021 3 359-365
allfieldsSound	10.4103/apc.APC_108_20 doi (DE-627)DOAJ076654877 (DE-599)DOAJcaa860a518344ba88311ddd11cf1c750 DE-627 ger DE-627 rakwb eng RJ1-570 RC666-701 Shweta Bakhru verfasserin aut Prenatal diagnosis of vascular rings and outcome 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background : Vascular rings (VRs) present with varied symptoms and may result in significant morbidity before an accurate diagnosis is made. Prenatal diagnosis may be useful to plan surgery after birth. Objectives : The purpose of the study was to see the feasibility of accurate diagnosis of VR during antenatal ultrasound examination and describe their outcome. Methods : This is a retrospective observational study between January 2014 and December 2019. Vascular rings were diagnosed on the basis of three vessel tracheal view and neck vessels arrangements on fetal echocardiogram. Postnatal evaluation by transthoracic echocardiography and computerized tomography angiogram was performed. Surgical repair was done as per standard indications. Results : A total of 35 cases of fetal VRs (median gestational age: 24 weeks [range: 19–35]) were diagnosed during the study period. There were four dichorionic diamniotic twin gestation pregnancies. The right aortic arch (RAA) with anomalous left subclavian artery (ALSA) was suspected in 31 fetuses, double aortic arch (DAA) in 3, and circumflex aorta in 1. Twenty-six (74%) patients had successful deliveries. One patient had a spontaneous miscarriage, 2 underwent termination, and 6 were lost to follow-up. Postnatal assessment showed RAA with ALSA in 18, DAA in 5, circumflex aorta in 2, and no abnormality in 1. Twenty-two (86%) were operated (RAA with ALSA: 17, DAA: 4, and circumflex aorta: 1) and four were waiting for surgery. Two patients died due to prematurity-related complications. All survivors are symptom free during follow-up (median: 2.24; range: 0.2–5.6 years). Conclusions : Fetal echocardiography enables prenatal diagnosis and planning of postnatal repair of VRs. double aortic arch fetal echocardiogram prenatal diagnosis right aortic arch vascular ring Medicine R Pediatrics Diseases of the circulatory (Cardiovascular) system Nageswara Rao Koneti verfasserin aut Sujata Patil verfasserin aut Bhargavi Dhulipudi verfasserin aut Tapan Dash verfasserin aut Geeta Kolar verfasserin aut Suseela Vavilala verfasserin aut In Annals of Pediatric Cardiology Wolters Kluwer Medknow Publications, 2008 14(2021), 3, Seite 359-365 (DE-627)568923138 (DE-600)2430956-4 09745149 nnns volume:14 year:2021 number:3 pages:359-365 https://doi.org/10.4103/apc.APC_108_20 kostenfrei https://doaj.org/article/caa860a518344ba88311ddd11cf1c750 kostenfrei http://www.annalspc.com/article.asp?issn=0974-2069;year=2021;volume=14;issue=3;spage=359;epage=365;aulast=Bakhru kostenfrei https://doaj.org/toc/0974-2069 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2021 3 359-365
language	English
source	In Annals of Pediatric Cardiology 14(2021), 3, Seite 359-365 volume:14 year:2021 number:3 pages:359-365
sourceStr	In Annals of Pediatric Cardiology 14(2021), 3, Seite 359-365 volume:14 year:2021 number:3 pages:359-365
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	double aortic arch fetal echocardiogram prenatal diagnosis right aortic arch vascular ring Medicine R Pediatrics Diseases of the circulatory (Cardiovascular) system
isfreeaccess_bool	true
container_title	Annals of Pediatric Cardiology
authorswithroles_txt_mv	Shweta Bakhru @@aut@@ Nageswara Rao Koneti @@aut@@ Sujata Patil @@aut@@ Bhargavi Dhulipudi @@aut@@ Tapan Dash @@aut@@ Geeta Kolar @@aut@@ Suseela Vavilala @@aut@@
publishDateDaySort_date	2021-01-01T00:00:00Z
hierarchy_top_id	568923138
id	DOAJ076654877
language_de	englisch
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callnumber-first	R - Medicine
author	Shweta Bakhru
spellingShingle	Shweta Bakhru misc RJ1-570 misc RC666-701 misc double aortic arch misc fetal echocardiogram misc prenatal diagnosis misc right aortic arch misc vascular ring misc Medicine misc R misc Pediatrics misc Diseases of the circulatory (Cardiovascular) system Prenatal diagnosis of vascular rings and outcome
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topic_title	RJ1-570 RC666-701 Prenatal diagnosis of vascular rings and outcome double aortic arch fetal echocardiogram prenatal diagnosis right aortic arch vascular ring
topic	misc RJ1-570 misc RC666-701 misc double aortic arch misc fetal echocardiogram misc prenatal diagnosis misc right aortic arch misc vascular ring misc Medicine misc R misc Pediatrics misc Diseases of the circulatory (Cardiovascular) system
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title	Prenatal diagnosis of vascular rings and outcome
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title_full	Prenatal diagnosis of vascular rings and outcome
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author_browse	Shweta Bakhru Nageswara Rao Koneti Sujata Patil Bhargavi Dhulipudi Tapan Dash Geeta Kolar Suseela Vavilala
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title_sort	prenatal diagnosis of vascular rings and outcome
callnumber	RJ1-570
title_auth	Prenatal diagnosis of vascular rings and outcome
abstract	Background : Vascular rings (VRs) present with varied symptoms and may result in significant morbidity before an accurate diagnosis is made. Prenatal diagnosis may be useful to plan surgery after birth. Objectives : The purpose of the study was to see the feasibility of accurate diagnosis of VR during antenatal ultrasound examination and describe their outcome. Methods : This is a retrospective observational study between January 2014 and December 2019. Vascular rings were diagnosed on the basis of three vessel tracheal view and neck vessels arrangements on fetal echocardiogram. Postnatal evaluation by transthoracic echocardiography and computerized tomography angiogram was performed. Surgical repair was done as per standard indications. Results : A total of 35 cases of fetal VRs (median gestational age: 24 weeks [range: 19–35]) were diagnosed during the study period. There were four dichorionic diamniotic twin gestation pregnancies. The right aortic arch (RAA) with anomalous left subclavian artery (ALSA) was suspected in 31 fetuses, double aortic arch (DAA) in 3, and circumflex aorta in 1. Twenty-six (74%) patients had successful deliveries. One patient had a spontaneous miscarriage, 2 underwent termination, and 6 were lost to follow-up. Postnatal assessment showed RAA with ALSA in 18, DAA in 5, circumflex aorta in 2, and no abnormality in 1. Twenty-two (86%) were operated (RAA with ALSA: 17, DAA: 4, and circumflex aorta: 1) and four were waiting for surgery. Two patients died due to prematurity-related complications. All survivors are symptom free during follow-up (median: 2.24; range: 0.2–5.6 years). Conclusions : Fetal echocardiography enables prenatal diagnosis and planning of postnatal repair of VRs.
abstractGer	Background : Vascular rings (VRs) present with varied symptoms and may result in significant morbidity before an accurate diagnosis is made. Prenatal diagnosis may be useful to plan surgery after birth. Objectives : The purpose of the study was to see the feasibility of accurate diagnosis of VR during antenatal ultrasound examination and describe their outcome. Methods : This is a retrospective observational study between January 2014 and December 2019. Vascular rings were diagnosed on the basis of three vessel tracheal view and neck vessels arrangements on fetal echocardiogram. Postnatal evaluation by transthoracic echocardiography and computerized tomography angiogram was performed. Surgical repair was done as per standard indications. Results : A total of 35 cases of fetal VRs (median gestational age: 24 weeks [range: 19–35]) were diagnosed during the study period. There were four dichorionic diamniotic twin gestation pregnancies. The right aortic arch (RAA) with anomalous left subclavian artery (ALSA) was suspected in 31 fetuses, double aortic arch (DAA) in 3, and circumflex aorta in 1. Twenty-six (74%) patients had successful deliveries. One patient had a spontaneous miscarriage, 2 underwent termination, and 6 were lost to follow-up. Postnatal assessment showed RAA with ALSA in 18, DAA in 5, circumflex aorta in 2, and no abnormality in 1. Twenty-two (86%) were operated (RAA with ALSA: 17, DAA: 4, and circumflex aorta: 1) and four were waiting for surgery. Two patients died due to prematurity-related complications. All survivors are symptom free during follow-up (median: 2.24; range: 0.2–5.6 years). Conclusions : Fetal echocardiography enables prenatal diagnosis and planning of postnatal repair of VRs.
abstract_unstemmed	Background : Vascular rings (VRs) present with varied symptoms and may result in significant morbidity before an accurate diagnosis is made. Prenatal diagnosis may be useful to plan surgery after birth. Objectives : The purpose of the study was to see the feasibility of accurate diagnosis of VR during antenatal ultrasound examination and describe their outcome. Methods : This is a retrospective observational study between January 2014 and December 2019. Vascular rings were diagnosed on the basis of three vessel tracheal view and neck vessels arrangements on fetal echocardiogram. Postnatal evaluation by transthoracic echocardiography and computerized tomography angiogram was performed. Surgical repair was done as per standard indications. Results : A total of 35 cases of fetal VRs (median gestational age: 24 weeks [range: 19–35]) were diagnosed during the study period. There were four dichorionic diamniotic twin gestation pregnancies. The right aortic arch (RAA) with anomalous left subclavian artery (ALSA) was suspected in 31 fetuses, double aortic arch (DAA) in 3, and circumflex aorta in 1. Twenty-six (74%) patients had successful deliveries. One patient had a spontaneous miscarriage, 2 underwent termination, and 6 were lost to follow-up. Postnatal assessment showed RAA with ALSA in 18, DAA in 5, circumflex aorta in 2, and no abnormality in 1. Twenty-two (86%) were operated (RAA with ALSA: 17, DAA: 4, and circumflex aorta: 1) and four were waiting for surgery. Two patients died due to prematurity-related complications. All survivors are symptom free during follow-up (median: 2.24; range: 0.2–5.6 years). Conclusions : Fetal echocardiography enables prenatal diagnosis and planning of postnatal repair of VRs.
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title_short	Prenatal diagnosis of vascular rings and outcome
url	https://doi.org/10.4103/apc.APC_108_20 https://doaj.org/article/caa860a518344ba88311ddd11cf1c750 http://www.annalspc.com/article.asp?issn=0974-2069;year=2021;volume=14;issue=3;spage=359;epage=365;aulast=Bakhru https://doaj.org/toc/0974-2069
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