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Published in: Archives of Gynecology and Obstetrics 1/2012

01-01-2012 | Materno-Fetal Medicine

Associated anomalies and outcome of fetal aberrant right subclavian artery

Authors: Ahmet Gul, Aytul Corbacioglu, Isil Turan Bakirci, Yavuz Ceylan

Published in: Archives of Gynecology and Obstetrics | Issue 1/2012

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Abstract

Purpose

To determine the frequency of aberrant right subclavian artery among the low-risk fetuses and to evaluate its association with chromosomal abnormalities and the other congenital heart diseases.

Methods

A total of 4,125 consecutive fetuses were examined for the presence of aberrant right subclavian artery that arises from the descending aorta distal to the left subclavian artery.

Results

Aberrant right subclavian artery was detected in 17 cases (0.4%). In nine cases it was an isolated finding. In four cases (23.5%) it was accompanied by another cardiac defect. Extracardiac malformations were present in three fetuses (17.6%). Among the 13 cases of aberrant right subclavian artery in which the karyotypes were known, one case presented with Down syndrome (7.6%). In this fetus, aberrant right subclavian artery was the only finding.

Conclusion

These findings suggest that aberrant right subclavian may be an isolated finding in trisomy 21. The visualization of subclavian artery should be a part of fetal echocardiographic examination as it may be a valuable marker for Down syndrome.
Literature
1.
go back to reference Zapata H, Edwards JE, Titus JL (1993) Aberrant right subclavian artery with left aortic arch: associated cardiac anomalies. Pediatr Cardiol 14:159–161PubMedCrossRef Zapata H, Edwards JE, Titus JL (1993) Aberrant right subclavian artery with left aortic arch: associated cardiac anomalies. Pediatr Cardiol 14:159–161PubMedCrossRef
2.
go back to reference Carrizo GJ, Marjani MA (2004) Dysphagia lusoria caused by an aberrant right subclavian artery. Tex Heart Inst J 31:168–171PubMed Carrizo GJ, Marjani MA (2004) Dysphagia lusoria caused by an aberrant right subclavian artery. Tex Heart Inst J 31:168–171PubMed
3.
go back to reference Störk T, Gareis R, Krumholz K, Eichstadt H (2001) Aberrant right subclavian artery (arteria lusoria) as a rare cause of dysphagia and dyspnea in a 79-year old women with right mediastinal and retrotracheal mass, and co-existing coronary artery disease. Vasa. 30(3):225–228PubMedCrossRef Störk T, Gareis R, Krumholz K, Eichstadt H (2001) Aberrant right subclavian artery (arteria lusoria) as a rare cause of dysphagia and dyspnea in a 79-year old women with right mediastinal and retrotracheal mass, and co-existing coronary artery disease. Vasa. 30(3):225–228PubMedCrossRef
4.
go back to reference Borenstein M, Cavoretto P, Allan L, Huggon I, Nicolaides KH (2008) Aberrant right subclavian artery at 11 + 0 to 13 + 6 weeks of gestation in chromosomally normal and abnormal fetuses. Ultasound Obstet Gynecol. 31:20–24CrossRef Borenstein M, Cavoretto P, Allan L, Huggon I, Nicolaides KH (2008) Aberrant right subclavian artery at 11 + 0 to 13 + 6 weeks of gestation in chromosomally normal and abnormal fetuses. Ultasound Obstet Gynecol. 31:20–24CrossRef
5.
go back to reference Borenstein M, Minekawa R, Zidere V, Nicolaides KH, Allan LD (2010) Aberrant right subclavian artery at 16 to 23 + 6 weeks of gestation: a marker for chromosomal abnormality. Ultrasound Obstet Gynecol 36:548–552PubMedCrossRef Borenstein M, Minekawa R, Zidere V, Nicolaides KH, Allan LD (2010) Aberrant right subclavian artery at 16 to 23 + 6 weeks of gestation: a marker for chromosomal abnormality. Ultrasound Obstet Gynecol 36:548–552PubMedCrossRef
6.
go back to reference Zalel Y, Achiron R, Yagel S, Kivilevitch Z (2008) Fetal aberrant right subclavian artery in normal and Down syndrome fetuses. Ultrasound Obstet Gynecol 31:25–29PubMedCrossRef Zalel Y, Achiron R, Yagel S, Kivilevitch Z (2008) Fetal aberrant right subclavian artery in normal and Down syndrome fetuses. Ultrasound Obstet Gynecol 31:25–29PubMedCrossRef
7.
go back to reference Chaoui R, Heling K, Sarioglu N, Schwabe M, Dankof A, Bollmann R (2005) Aberrant right subclavian artery as a new cardiac sign in second- and third- trimester fetuses with Down syndrome. Am J Obstet Gynecol 192:257–263PubMedCrossRef Chaoui R, Heling K, Sarioglu N, Schwabe M, Dankof A, Bollmann R (2005) Aberrant right subclavian artery as a new cardiac sign in second- and third- trimester fetuses with Down syndrome. Am J Obstet Gynecol 192:257–263PubMedCrossRef
8.
go back to reference Sadler T (1990) Cardiovascular system. In: Sadler T (ed) Langman’s medical embryology, 6th edn. Williams & Wilkins, Baltimore, pp 179–228 Sadler T (1990) Cardiovascular system. In: Sadler T (ed) Langman’s medical embryology, 6th edn. Williams & Wilkins, Baltimore, pp 179–228
9.
go back to reference Karcaaltincaba M, Haliloglu M, Ozkan E, Kocak M, Akinci D, Ariyurek M (2009) Non-invasive imagimg of aberrant right sublavian artery pathologies and aberrant right vertebral artery. British J Radiol 82:73–78CrossRef Karcaaltincaba M, Haliloglu M, Ozkan E, Kocak M, Akinci D, Ariyurek M (2009) Non-invasive imagimg of aberrant right sublavian artery pathologies and aberrant right vertebral artery. British J Radiol 82:73–78CrossRef
10.
go back to reference Saeed G, Ganster G, Friedel N (2010) Arteria Lusoria Aneurysm with Truncus Bicaroticus. Tex Heart Inst J 37(5):602–607PubMed Saeed G, Ganster G, Friedel N (2010) Arteria Lusoria Aneurysm with Truncus Bicaroticus. Tex Heart Inst J 37(5):602–607PubMed
11.
go back to reference Chaoui R, Kalache KD, Heling KS, Tennstedt C, Bommer C, Körner H (2002) Absent or hypoplastic thymus on ultrasound: a marker for deletion 22q11.2 in fetal cardiac defects. Ultrasound Obstet Gynecol 20:546–552PubMedCrossRef Chaoui R, Kalache KD, Heling KS, Tennstedt C, Bommer C, Körner H (2002) Absent or hypoplastic thymus on ultrasound: a marker for deletion 22q11.2 in fetal cardiac defects. Ultrasound Obstet Gynecol 20:546–552PubMedCrossRef
12.
go back to reference Rauch R, Rauch A, Koch A, Zink S, Kaulitz M, Girisch M, Singer H, Hofbedck M (2004) Laterality of the aortic arch and anomalies of the subclavian artery—reliable indicators for 22q11.2 deletion syndromes? Eur J Pediatr 163:642–645PubMed Rauch R, Rauch A, Koch A, Zink S, Kaulitz M, Girisch M, Singer H, Hofbedck M (2004) Laterality of the aortic arch and anomalies of the subclavian artery—reliable indicators for 22q11.2 deletion syndromes? Eur J Pediatr 163:642–645PubMed
Metadata
Title
Associated anomalies and outcome of fetal aberrant right subclavian artery
Authors
Ahmet Gul
Aytul Corbacioglu
Isil Turan Bakirci
Yavuz Ceylan
Publication date
01-01-2012
Publisher
Springer-Verlag
Published in
Archives of Gynecology and Obstetrics / Issue 1/2012
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-011-1907-9

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