Study of echocardiography in the diagnosis of interrupted aortic arch with aberrant right subclavian artery

doi:10.3877/cma.j.issn.1672-6448.2018.10.014

Abstract

Abstract:

Objective

To explore the value and availability of echocardiography in the diagnosis of interrupted aortic arch (IAA) with aberrant right subclavian artery (ARSCA) in children.

Methods

The echocardiographic images and clinical data of 6 patient s with IAA and ARSCA confirmed by operation were analyzed retrospectively.

Results

six cases of IAA (all were type B) was associated with ARSCA. Among them, 4 cases were misdiagnosed as IAA-C. In IAA-B associated with ARSCA right and left common carotid artery were originated from the aortic arch before interruption, and they appeared as a symmetrical ″Y″ shape with ascending aorta; left and right subclavian artery were originated from the aortic arch after interruption, and the blood vessel lines of ARSCA were variable but always extending to the upper right; the ratio of the diameter of pulmonary artery and aorta were increased obviously.

Conclusions

It is significant to carefully examine aberrant right subclavian artery, and it was help to the cardiac surgery.

Key words: Echocardiography, Interrupted aortic arch, Right subclavian artery/aberration

Jin Yu, Guoping Jiang, Jingjing Ye, Jin He, Zewei Zhang. Study of echocardiography in the diagnosis of interrupted aortic arch with aberrant right subclavian artery[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2018, 15(10): 796-800.

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URL: https://chaosheng.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1672-6448.2018.10.014

https://chaosheng.cma-cmc.com.cn/EN/Y2018/V15/I10/796

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References 15

1	俞劲，蒋国平，叶菁菁. 28 772例先天性心脏病超声心动图诊断分析 [J]. 中华流行病学杂志, 2011, 32(5): 523-524.
2	武晓燕，谢明星，方凌云, 等. 超声心动图诊断主动脉弓离断 [J]. 中国医学影像技术, 2011, 27(8): 1591-1593.
3	郑春华，张桂珍，韩玲, 等. 超声心动图诊断主动脉弓离断的价值 [J]. 中国超声医学杂志, 2004, 20(6): 457-460.
4	段雅琦，王建华，丁桂春, 等. 超声心动图诊断主动脉弓离断的价值 [J/CD]. 中华医学超声杂志(电子版), 2014, 11(6): 488-492.
5	陈琮瑛，李胜利，文华轩, 等. 胎儿主动脉弓异常的超声诊断线索和方法研究 [J]. 中华超声影像学杂志, 2011, 20(6): 983-986.
6	董莹，王玲，赵晟, 等. 胎儿主动脉弓离断产前超声诊断分析 [J]. 中华超声影像学杂志, 2014, 23(11): 478-482.
7	曾施，周启昌，周嘉炜, 等. 迷走右锁骨下动脉的产前超声诊断及临床价值 [J]. 中华超声影像学杂志, 2014, 23(9): 762-764.
8	Bagtharia R, Trivedi KR, Burkhart HM, et al. Outcomes for patients with an aortopulmonary window, and the impact of associatedcardiovascular lesions [J]. Cardiol Young, 2004, 14(5): 473-480.
9	张玲利，谢明显，杨亚利, 等. 超声心动图在诊断主动脉肺动脉间隔缺损中的应用价值 [J]. 中华超声影像学杂志, 2007, 16(9): 759-763.
10	杜柳，谢红宁，郑菊, 等. 胎儿迷走右侧锁骨下动脉58例临床分析 [J]. 中华妇产科杂志, 2016, 51(6): 457-460.
11	李胜利，文华轩，罗丹丹. 胎儿主动脉弓及其分支异常分型的再认识 [J/CD]. 中华医学超声杂志(电子版), 2017, 14(5): 321-333.
12	周丽，李春平，杨帆, 等. 迷走右锁骨下动脉CT表现及临床意义 [J]. 实用放射学杂志, 2015, 31(2): 208-211.
13	魏士翔，李亚，杨璐璐, 等. 迷走右锁骨下动脉形态学改变及相关研究进展 [J]. 解剖学杂志, 2014, 37(3): 404-407.
14	Maekawa Y, Sakamoto T, Umezu K, et al. Aortic arch reconstruction for interrupted aortic arch using an aberrant right subclavian artery [J]. Gen Thorac Cardiovasc Surg, 2013, 61(2): 108-110.
15	刘芳，蔡武. 迷走锁骨下动脉的多层螺旋CT研究 [J]. 重庆医学, 2016, 45(4): 513-516.

组别	男/女（例）	年龄（d）	体重（kg）	PA/AO
IAA-B伴ARSCA	3/3	20.50±23.49	2.90±0.83	3.63±0.70
IAA-B（普通型）	2/4	706.25±1392.51	7.14±7.61	2.49±0.54
t值	?	1.246	1.395	-2.722
P值	?	0.248	0.201	0.026

组别	男/女（例）	年龄（d）	体重（kg）	PA/AO
IAA-B伴ARSCA	3/3	20.50±23.49	2.90±0.83	3.63±0.70
IAA-B（普通型）	2/4	706.25±1392.51	7.14±7.61	2.49±0.54
t值	?	1.246	1.395	-2.722
P值	?	0.248	0.201	0.026

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