Prenatal diagnosis of anomalous origin of pulmonary artery

Li, Xuelei; Zhang, Mu; Li, Xu; Weng, Zongjie

doi:10.1002/pd.5235

Cited by 15 publications

(23 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[2][3][4][5] Variations of the left pulmonary artery (LPA) or right pulmonary artery (RPA) origins can lead to adverse outcomes if they form a sling surrounding the trachea. [6][7][8][9] A vascular ring or sling can present when vessels in the upper mediastinum encircle and compress the trachea and/or esophagus. With some severe rings (e.g., double aortic arch [DAA]) and pulmonary slings, symptoms of trachea compression often present in early infancy.…”

mentioning

confidence: 99%

Fetal Vascular Rings and Pulmonary Slings: Strategies for Two- and Three-Dimensional Echocardiographic Diagnosis

Wang

Zhang

2021

Journal of the American Society of Echocardiography

View full text Add to dashboard Cite

Fetal aortic arch anomalies and pulmonary slings can be difficult to accurately diagnose but have important clinical implications related to vascular rings, congenital heart disease, and chromosomal anomalies. In this article, the authors briefly review the embryology and development of the fetal arch to facilitate understanding of its diverse variants. Two-dimensional echocardiographic characteristics are summarized for each type of these malformations to propose a strategy for fetal diagnosis. The added benefits of three-dimensional echocardiography with spatiotemporal image correlation are also shown. Finally, the authors propose a strategy for volume acquisition and postanalysis to spur postanalysis clinical use of this technology.

show abstract

mentioning

confidence: 99%

Fetal Vascular Rings and Pulmonary Slings: Strategies for Two- and Three-Dimensional Echocardiographic Diagnosis

Wang

Zhang

2021

Journal of the American Society of Echocardiography

View full text Add to dashboard Cite

show abstract

“…Previously reported cases of prenatal diagnosis emphasized the role of US observation of the fetal pulmonary artery bifurcation, abnormal rotation of the fetal cardiac axis toward the right, three vessels and trachea view, and pulmonary artery bifurcation, for the diagnosis of pulmonary artery sling 10‐12 . In our case, the fetal pulmonary artery bifurcation, fetal cardiac axis, and three‐vessel‐trachea‐pulmonary artery bifurcation were normal.…”

Section: Discussionmentioning

confidence: 51%

Prenatal sonographic diagnosis of partial left pulmonary artery sling: A rare case report

Wang

Gai

et al. 2020

J of Clinical Ultrasound

View full text Add to dashboard Cite

Pulmonary artery sling is a rare congenital vascular anomaly. Partial anomalous left pulmonary artery is even rarer and no in utero observation has yet been reported. Here, we present the ultrasonographic findings of a 38‐year‐old woman at 32 weeks of gestation whose fetus showed a normal bifurcation of the pulmonary trunk into the right and left pulmonary arteries, but an anomalous origin of the left lower lobe pulmonary artery from the right pulmonary artery. These findings were confirmed by postnatal echocardiography and thoracic computed tomography.

show abstract

“…As early surgical intervention is critical to the outcome, and accurate prenatal diagnosis of these anomalies should optimally be made during routine obstetric ultrasound examinations. 22,30 For example, in the case of proximal anomalous origin of one pulmonary artery branch from the aorta, the normal aorta could be mistaken for the "main pulmonary artery with branches" and could be misdiagnosed as transposition of the great arteries. 31 In conclusion, for comprehensive understanding of abnormal pulmonary artery branch connections and postnatal pathophysiological changes in fetuses diagnosed with anomalous origin of one pulmonary artery branch from the aorta and unilateral absence of a pulmonary artery, the three vessels and trachea view, the long axis of the left ventricular outflow tract, and the coronal view of the root of innominate artery are important views for displaying the anomalous origin of one pulmonary artery in the fetal period.…”

mentioning

confidence: 99%

Prenatal diagnosis of anomalous origin of one pulmonary artery branch by two-dimensional echocardiography: summary of 12 cases

Zhang

Huang

et al. 2019

Cardiol Young

View full text Add to dashboard Cite

Objectives:To improve the prenatal diagnosis for anomalous origin of pulmonary artery branches by comparing and analyzing different types of fetal echocardiography features.Methods:Between June 2012 and December 2018, fetal echocardiographic features were analyzed retrospectively from fetuses with a prenatal diagnosis of anomalous origin of pulmonary artery branch. The main points of identification were summarized.Results:A total of 12 fetuses were diagnosed, including anomalous origin of a pulmonary artery branch from the innominate artery and six cases with unilateral absence of pulmonary artery. The shared characteristic sonographic finding was the lack of confluence at the bifurcation of the main pulmonary artery. The differences between the two conditions are highlighted by the origin of the anomalous vessel. In fetuses with anomalous origin of one pulmonary artery branch, the affected pulmonary artery arose from the posterior wall of the ascending aorta as noted on three vessels and trachea view as well as the long axis of the left ventricular outflow tract. This is in contrast to fetuses with unilateral absence of pulmonary artery, where the origin of affected pulmonary artery arises from the base of the innominate artery via the ipsilateral patent arterial duct as evident on the three vessels and trachea view and the coronal view of innominate (brachiocephalic) artery.Conclusion:(1) The main similarity is an absence of a confluence at the bifurcation of the main pulmonary artery. (2) The main distinguishing feature is the origin of the anomalous vessel from either the subclavian or directly from the aorta.

show abstract

Prenatal diagnosis of anomalous origin of pulmonary artery

Cited by 15 publications

References 22 publications

Fetal Vascular Rings and Pulmonary Slings: Strategies for Two- and Three-Dimensional Echocardiographic Diagnosis

Fetal Vascular Rings and Pulmonary Slings: Strategies for Two- and Three-Dimensional Echocardiographic Diagnosis

Prenatal sonographic diagnosis of partial left pulmonary artery sling: A rare case report

Prenatal diagnosis of anomalous origin of one pulmonary artery branch by two-dimensional echocardiography: summary of 12 cases

Contact Info

Product

Resources

About