Vascular Rings and Slings

Agarwal, Ankur

doi:10.1007/978-3-030-74822-7_26

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2023

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“…The prevalence of DAA reported in the literature varies from as low as 0.005–0.007% 1,2 up to 0.01% 3 , while the prevalence of RAA is estimated at 0.1% 1,2 . The two aortic arches can be similar in size but the right arch is dominant in approximately 75% of cases 4,5 . In most cases of DAA, there is a left‐sided arterial duct.…”

Section: Introductionmentioning

confidence: 99%

Double aortic arch: implications of antenatal diagnosis, differential growth of arches during pregnancy, associated abnormalities and postnatal outcome

Bartsota

Jowett

Manuel

et al. 2023

Ultrasound in Obstet & Gyne

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This is the largest antenatal series of double aortic arch (DAA). It shows that in the vast majority of cases both arches are patent prenatally, but postnatally the left arch is atretic in most patients, supporting the theory of differential growth of the arches. Postnatal cases of DAA with atretic left can be misinterpreted as right aortic arch and thorough assessment by computed tomography (CT) is required. What are the clinical implications of this work?This work will help and guide antenatal counseling and postnatal management of cases of DAA. Based on our findings, the recommendation is for these patients to be delivered at hospitals where neonatal support is available, to have early postnatal pediatric cardiology review and to undergo CT irrespective of the presence of symptoms or not.

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