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Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta
Published on: September 8, 2023
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First Trimester Ultrasound Diagnosis of Right Aortic Arch (RAA).
C L Pătru1,2, Ş Tudorache1,2, M C Marinaş1,2
1Obstetrics and Gynaecology Department, University of Medicine and Pharmacy of Craiova, Romania.
Current Health Sciences Journal
|February 12, 2020
Summary
Early ultrasound detection of right aortic arch (RAA) in pregnancy is crucial. While often isolated, RAA can be linked to congenital heart abnormalities, necessitating careful monitoring and management.
Area of Science:
- Cardiovascular Medicine
- Prenatal Diagnostics
- Fetal Cardiology
Background:
- Right aortic arch (RAA) is a rare congenital vascular anomaly.
- Early detection of RAA in pregnancy aids in identifying associated fetal abnormalities.
- Standard prenatal care includes screening for fetal structural anomalies.
Observation:
- A retrospective study analyzed 14 cases of RAA diagnosed between 2012-2018.
- Four RAA cases were identified in the first trimester.
- Specific RAA types (Type 1 and Type 2) were correlated with cardiac defects like Tetralogy of Fallot and atrio-ventricular septal defect.
Findings:
- In the first trimester, 50% of RAA cases were associated with congenital heart abnormalities.
- RAA Type 1 was linked to Tetralogy of Fallot in 25% of cases.
- RAA Type 2 was associated with atrio-ventricular septal defects in 25% of cases. No extracardiac abnormalities were noted.
Implications:
- First-trimester RAA detection has a 50% association rate with congenital heart defects.
- Early identification of RAA allows for timely intervention and improved pregnancy management.
- This highlights the importance of detailed fetal echocardiography in cases of suspected RAA.
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