Prenatal diagnosis of congenital vascular rings and slings: sonographic features and perinatal outcome in 81 consecutive cases
Objective To describe the sonographic features and perinatal outcome of congenital vascular rings diagnosed prenatally at a single tertiary care institution. Methods All cases of congenital vascular rings diagnosed by prenatal ultrasound between July 2005 and December 2009 were identified at a singl...
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| Veröffentlicht in: | Prenatal diagnosis 2011-04, Vol.31 (4), p.334-346 |
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| creator | Li, Shengli Luo, Guoyang Norwitz, Errol R. Wang, Chenhong Ouyang, Shuyuan Yao, Yuan Chen, Congying Wen, Huaxuan Chen, Xiulan Bi, Jingru |
| description | Objective
To describe the sonographic features and perinatal outcome of congenital vascular rings diagnosed prenatally at a single tertiary care institution.
Methods
All cases of congenital vascular rings diagnosed by prenatal ultrasound between July 2005 and December 2009 were identified at a single referral center using an established perinatal database. The diagnosis was confirmed by postnatal echocardiography for live‐born infants or autopsy for terminated cases.
Results
The overall incidence of vascular ring during this 5‐year period was 0.086% (81 cases among 94 321 women undergoing perinatal ultrasound examination). Forty‐four cases had complete O‐shaped (n = 3) or U‐shaped (n = 41) vascular rings, and 37 cases had incomplete C‐shaped vascular rings (vascular slings). The most common type of vascular ring seen in 50.6% (41/81) of cases was a right aortic arch with aberrant left subclavian artery. The second most common type was a left aortic arch with an aberrant right subclavian artery [39.5% (32/81)]. Chromosomal analysis was performed prenatally in 46 pregnancies, and six cases (13.0%) of fetal aneuploidy were identified.
Conclusions
Congenital vascular rings can be diagnosed with prenatal ultrasound using the three‐vessel trachea view and subsequent fetal echocardiography with particular attention to the relationship of the aortic arches, ductal arches, and the trachea. Copyright © 2011 John Wiley & Sons, Ltd. |
| doi_str_mv | 10.1002/pd.2678 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_857811657</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>857811657</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3848-af7fea274b33314d49cb9916ba0dacafd7b72432df77c62850109b61c7e0bb893</originalsourceid><addsrcrecordid>eNp10M1u1DAUBWALgehQEG-AvEEsUIp_kthhVw20IA0wCxASG-vGcQZDxg6-SaEbnh2HGdoVK19Zn86RDiGPOTvjjIkXY3cmaqXvkBVnjSqYEPIuWTGeb6krfkIeIH7LUItG3ScnggvNWKVX5Pc2uQATDLTzsAsRPdLYUxvDzgW__F8B2nmARJMPO6QQOorDcr6kGEPcJRi_ekt7B9Oc3AGMLuO_qXGebNw76gPVfIlFZ-fJXzlqAR0-JPd6GNA9Or6n5NPF64_rN8Xmw-Xb9fmmsFKXuoBe5XyhylZKycuubGzbNLxugXVgoe9Uq0QpRdcrZWuhK5ZnaGtulWNtqxt5Sp4dcscUf8wOJ7P3aN0wQHBxRqMrpTmvK3UrbYqIyfVmTH4P6dpwZpatzdiZZessnxwz53bvuhv3b9wMnh5BnhCGPkGwHm-dbHJtVWX3_OB--sFd_6_PbF8da4uD9ji5Xzca0ndTK6kq8_n9pREbvl2_qy7MF_kHPXOlEQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>857811657</pqid></control><display><type>article</type><title>Prenatal diagnosis of congenital vascular rings and slings: sonographic features and perinatal outcome in 81 consecutive cases</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Li, Shengli ; Luo, Guoyang ; Norwitz, Errol R. ; Wang, Chenhong ; Ouyang, Shuyuan ; Yao, Yuan ; Chen, Congying ; Wen, Huaxuan ; Chen, Xiulan ; Bi, Jingru</creator><creatorcontrib>Li, Shengli ; Luo, Guoyang ; Norwitz, Errol R. ; Wang, Chenhong ; Ouyang, Shuyuan ; Yao, Yuan ; Chen, Congying ; Wen, Huaxuan ; Chen, Xiulan ; Bi, Jingru</creatorcontrib><description>Objective
To describe the sonographic features and perinatal outcome of congenital vascular rings diagnosed prenatally at a single tertiary care institution.
Methods
All cases of congenital vascular rings diagnosed by prenatal ultrasound between July 2005 and December 2009 were identified at a single referral center using an established perinatal database. The diagnosis was confirmed by postnatal echocardiography for live‐born infants or autopsy for terminated cases.
Results
The overall incidence of vascular ring during this 5‐year period was 0.086% (81 cases among 94 321 women undergoing perinatal ultrasound examination). Forty‐four cases had complete O‐shaped (n = 3) or U‐shaped (n = 41) vascular rings, and 37 cases had incomplete C‐shaped vascular rings (vascular slings). The most common type of vascular ring seen in 50.6% (41/81) of cases was a right aortic arch with aberrant left subclavian artery. The second most common type was a left aortic arch with an aberrant right subclavian artery [39.5% (32/81)]. Chromosomal analysis was performed prenatally in 46 pregnancies, and six cases (13.0%) of fetal aneuploidy were identified.
Conclusions
Congenital vascular rings can be diagnosed with prenatal ultrasound using the three‐vessel trachea view and subsequent fetal echocardiography with particular attention to the relationship of the aortic arches, ductal arches, and the trachea. Copyright © 2011 John Wiley & Sons, Ltd.</description><identifier>ISSN: 0197-3851</identifier><identifier>EISSN: 1097-0223</identifier><identifier>DOI: 10.1002/pd.2678</identifier><identifier>PMID: 21280058</identifier><identifier>CODEN: PRDIDM</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Aneurysm - diagnostic imaging ; Aneurysm - pathology ; Aortic Arch Syndromes - diagnostic imaging ; Aortic Arch Syndromes - pathology ; Biological and medical sciences ; Cardiovascular Abnormalities - diagnostic imaging ; Cardiovascular Abnormalities - pathology ; Case-Control Studies ; Cohort Studies ; congenital heart disease ; Deglutition Disorders - diagnostic imaging ; Deglutition Disorders - pathology ; Delivery. Postpartum. Lactation ; double aortic arch ; Female ; fetal echocardiography ; Fundamental and applied biological sciences. Psychology ; Genetics of eukaryotes. Biological and molecular evolution ; Gynecology. Andrology. Obstetrics ; Humans ; Infant, Newborn ; Medical sciences ; Models, Biological ; Molecular and cellular biology ; Phenotype ; Pregnancy ; Pregnancy Outcome - epidemiology ; prenatal diagnosis ; Prognosis ; Retrospective Studies ; Subclavian Artery - abnormalities ; Subclavian Artery - diagnostic imaging ; Subclavian Artery - pathology ; Ultrasonography, Prenatal - statistics & numerical data ; Vascular Malformations - classification ; Vascular Malformations - diagnostic imaging ; Vascular Malformations - epidemiology ; Vascular Malformations - pathology ; vascular ring</subject><ispartof>Prenatal diagnosis, 2011-04, Vol.31 (4), p.334-346</ispartof><rights>Copyright © 2011 John Wiley & Sons, Ltd.</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3848-af7fea274b33314d49cb9916ba0dacafd7b72432df77c62850109b61c7e0bb893</citedby><cites>FETCH-LOGICAL-c3848-af7fea274b33314d49cb9916ba0dacafd7b72432df77c62850109b61c7e0bb893</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpd.2678$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpd.2678$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23985755$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21280058$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Shengli</creatorcontrib><creatorcontrib>Luo, Guoyang</creatorcontrib><creatorcontrib>Norwitz, Errol R.</creatorcontrib><creatorcontrib>Wang, Chenhong</creatorcontrib><creatorcontrib>Ouyang, Shuyuan</creatorcontrib><creatorcontrib>Yao, Yuan</creatorcontrib><creatorcontrib>Chen, Congying</creatorcontrib><creatorcontrib>Wen, Huaxuan</creatorcontrib><creatorcontrib>Chen, Xiulan</creatorcontrib><creatorcontrib>Bi, Jingru</creatorcontrib><title>Prenatal diagnosis of congenital vascular rings and slings: sonographic features and perinatal outcome in 81 consecutive cases</title><title>Prenatal diagnosis</title><addtitle>Prenat. Diagn</addtitle><description>Objective
To describe the sonographic features and perinatal outcome of congenital vascular rings diagnosed prenatally at a single tertiary care institution.
Methods
All cases of congenital vascular rings diagnosed by prenatal ultrasound between July 2005 and December 2009 were identified at a single referral center using an established perinatal database. The diagnosis was confirmed by postnatal echocardiography for live‐born infants or autopsy for terminated cases.
Results
The overall incidence of vascular ring during this 5‐year period was 0.086% (81 cases among 94 321 women undergoing perinatal ultrasound examination). Forty‐four cases had complete O‐shaped (n = 3) or U‐shaped (n = 41) vascular rings, and 37 cases had incomplete C‐shaped vascular rings (vascular slings). The most common type of vascular ring seen in 50.6% (41/81) of cases was a right aortic arch with aberrant left subclavian artery. The second most common type was a left aortic arch with an aberrant right subclavian artery [39.5% (32/81)]. Chromosomal analysis was performed prenatally in 46 pregnancies, and six cases (13.0%) of fetal aneuploidy were identified.
Conclusions
Congenital vascular rings can be diagnosed with prenatal ultrasound using the three‐vessel trachea view and subsequent fetal echocardiography with particular attention to the relationship of the aortic arches, ductal arches, and the trachea. Copyright © 2011 John Wiley & Sons, Ltd.</description><subject>Aneurysm - diagnostic imaging</subject><subject>Aneurysm - pathology</subject><subject>Aortic Arch Syndromes - diagnostic imaging</subject><subject>Aortic Arch Syndromes - pathology</subject><subject>Biological and medical sciences</subject><subject>Cardiovascular Abnormalities - diagnostic imaging</subject><subject>Cardiovascular Abnormalities - pathology</subject><subject>Case-Control Studies</subject><subject>Cohort Studies</subject><subject>congenital heart disease</subject><subject>Deglutition Disorders - diagnostic imaging</subject><subject>Deglutition Disorders - pathology</subject><subject>Delivery. Postpartum. Lactation</subject><subject>double aortic arch</subject><subject>Female</subject><subject>fetal echocardiography</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Genetics of eukaryotes. Biological and molecular evolution</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Medical sciences</subject><subject>Models, Biological</subject><subject>Molecular and cellular biology</subject><subject>Phenotype</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome - epidemiology</subject><subject>prenatal diagnosis</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Subclavian Artery - abnormalities</subject><subject>Subclavian Artery - diagnostic imaging</subject><subject>Subclavian Artery - pathology</subject><subject>Ultrasonography, Prenatal - statistics & numerical data</subject><subject>Vascular Malformations - classification</subject><subject>Vascular Malformations - diagnostic imaging</subject><subject>Vascular Malformations - epidemiology</subject><subject>Vascular Malformations - pathology</subject><subject>vascular ring</subject><issn>0197-3851</issn><issn>1097-0223</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10M1u1DAUBWALgehQEG-AvEEsUIp_kthhVw20IA0wCxASG-vGcQZDxg6-SaEbnh2HGdoVK19Zn86RDiGPOTvjjIkXY3cmaqXvkBVnjSqYEPIuWTGeb6krfkIeIH7LUItG3ScnggvNWKVX5Pc2uQATDLTzsAsRPdLYUxvDzgW__F8B2nmARJMPO6QQOorDcr6kGEPcJRi_ekt7B9Oc3AGMLuO_qXGebNw76gPVfIlFZ-fJXzlqAR0-JPd6GNA9Or6n5NPF64_rN8Xmw-Xb9fmmsFKXuoBe5XyhylZKycuubGzbNLxugXVgoe9Uq0QpRdcrZWuhK5ZnaGtulWNtqxt5Sp4dcscUf8wOJ7P3aN0wQHBxRqMrpTmvK3UrbYqIyfVmTH4P6dpwZpatzdiZZessnxwz53bvuhv3b9wMnh5BnhCGPkGwHm-dbHJtVWX3_OB--sFd_6_PbF8da4uD9ji5Xzca0ndTK6kq8_n9pREbvl2_qy7MF_kHPXOlEQ</recordid><startdate>201104</startdate><enddate>201104</enddate><creator>Li, Shengli</creator><creator>Luo, Guoyang</creator><creator>Norwitz, Errol R.</creator><creator>Wang, Chenhong</creator><creator>Ouyang, Shuyuan</creator><creator>Yao, Yuan</creator><creator>Chen, Congying</creator><creator>Wen, Huaxuan</creator><creator>Chen, Xiulan</creator><creator>Bi, Jingru</creator><general>John Wiley & Sons, Ltd</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201104</creationdate><title>Prenatal diagnosis of congenital vascular rings and slings: sonographic features and perinatal outcome in 81 consecutive cases</title><author>Li, Shengli ; Luo, Guoyang ; Norwitz, Errol R. ; Wang, Chenhong ; Ouyang, Shuyuan ; Yao, Yuan ; Chen, Congying ; Wen, Huaxuan ; Chen, Xiulan ; Bi, Jingru</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3848-af7fea274b33314d49cb9916ba0dacafd7b72432df77c62850109b61c7e0bb893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Aneurysm - diagnostic imaging</topic><topic>Aneurysm - pathology</topic><topic>Aortic Arch Syndromes - diagnostic imaging</topic><topic>Aortic Arch Syndromes - pathology</topic><topic>Biological and medical sciences</topic><topic>Cardiovascular Abnormalities - diagnostic imaging</topic><topic>Cardiovascular Abnormalities - pathology</topic><topic>Case-Control Studies</topic><topic>Cohort Studies</topic><topic>congenital heart disease</topic><topic>Deglutition Disorders - diagnostic imaging</topic><topic>Deglutition Disorders - pathology</topic><topic>Delivery. Postpartum. Lactation</topic><topic>double aortic arch</topic><topic>Female</topic><topic>fetal echocardiography</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Genetics of eukaryotes. Biological and molecular evolution</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Medical sciences</topic><topic>Models, Biological</topic><topic>Molecular and cellular biology</topic><topic>Phenotype</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome - epidemiology</topic><topic>prenatal diagnosis</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Subclavian Artery - abnormalities</topic><topic>Subclavian Artery - diagnostic imaging</topic><topic>Subclavian Artery - pathology</topic><topic>Ultrasonography, Prenatal - statistics & numerical data</topic><topic>Vascular Malformations - classification</topic><topic>Vascular Malformations - diagnostic imaging</topic><topic>Vascular Malformations - epidemiology</topic><topic>Vascular Malformations - pathology</topic><topic>vascular ring</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Shengli</creatorcontrib><creatorcontrib>Luo, Guoyang</creatorcontrib><creatorcontrib>Norwitz, Errol R.</creatorcontrib><creatorcontrib>Wang, Chenhong</creatorcontrib><creatorcontrib>Ouyang, Shuyuan</creatorcontrib><creatorcontrib>Yao, Yuan</creatorcontrib><creatorcontrib>Chen, Congying</creatorcontrib><creatorcontrib>Wen, Huaxuan</creatorcontrib><creatorcontrib>Chen, Xiulan</creatorcontrib><creatorcontrib>Bi, Jingru</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Prenatal diagnosis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Shengli</au><au>Luo, Guoyang</au><au>Norwitz, Errol R.</au><au>Wang, Chenhong</au><au>Ouyang, Shuyuan</au><au>Yao, Yuan</au><au>Chen, Congying</au><au>Wen, Huaxuan</au><au>Chen, Xiulan</au><au>Bi, Jingru</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prenatal diagnosis of congenital vascular rings and slings: sonographic features and perinatal outcome in 81 consecutive cases</atitle><jtitle>Prenatal diagnosis</jtitle><addtitle>Prenat. Diagn</addtitle><date>2011-04</date><risdate>2011</risdate><volume>31</volume><issue>4</issue><spage>334</spage><epage>346</epage><pages>334-346</pages><issn>0197-3851</issn><eissn>1097-0223</eissn><coden>PRDIDM</coden><abstract>Objective
To describe the sonographic features and perinatal outcome of congenital vascular rings diagnosed prenatally at a single tertiary care institution.
Methods
All cases of congenital vascular rings diagnosed by prenatal ultrasound between July 2005 and December 2009 were identified at a single referral center using an established perinatal database. The diagnosis was confirmed by postnatal echocardiography for live‐born infants or autopsy for terminated cases.
Results
The overall incidence of vascular ring during this 5‐year period was 0.086% (81 cases among 94 321 women undergoing perinatal ultrasound examination). Forty‐four cases had complete O‐shaped (n = 3) or U‐shaped (n = 41) vascular rings, and 37 cases had incomplete C‐shaped vascular rings (vascular slings). The most common type of vascular ring seen in 50.6% (41/81) of cases was a right aortic arch with aberrant left subclavian artery. The second most common type was a left aortic arch with an aberrant right subclavian artery [39.5% (32/81)]. Chromosomal analysis was performed prenatally in 46 pregnancies, and six cases (13.0%) of fetal aneuploidy were identified.
Conclusions
Congenital vascular rings can be diagnosed with prenatal ultrasound using the three‐vessel trachea view and subsequent fetal echocardiography with particular attention to the relationship of the aortic arches, ductal arches, and the trachea. Copyright © 2011 John Wiley & Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>21280058</pmid><doi>10.1002/pd.2678</doi><tpages>13</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Prenatal diagnosis, 2011-04, Vol.31 (4), p.334-346 |
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| subjects | Aneurysm - diagnostic imaging Aneurysm - pathology Aortic Arch Syndromes - diagnostic imaging Aortic Arch Syndromes - pathology Biological and medical sciences Cardiovascular Abnormalities - diagnostic imaging Cardiovascular Abnormalities - pathology Case-Control Studies Cohort Studies congenital heart disease Deglutition Disorders - diagnostic imaging Deglutition Disorders - pathology Delivery. Postpartum. Lactation double aortic arch Female fetal echocardiography Fundamental and applied biological sciences. Psychology Genetics of eukaryotes. Biological and molecular evolution Gynecology. Andrology. Obstetrics Humans Infant, Newborn Medical sciences Models, Biological Molecular and cellular biology Phenotype Pregnancy Pregnancy Outcome - epidemiology prenatal diagnosis Prognosis Retrospective Studies Subclavian Artery - abnormalities Subclavian Artery - diagnostic imaging Subclavian Artery - pathology Ultrasonography, Prenatal - statistics & numerical data Vascular Malformations - classification Vascular Malformations - diagnostic imaging Vascular Malformations - epidemiology Vascular Malformations - pathology vascular ring |
| title | Prenatal diagnosis of congenital vascular rings and slings: sonographic features and perinatal outcome in 81 consecutive cases |
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