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Online ISSN
1305-3124

Established
1993

Editors-in-Chief
​Cihat Şen, ​Nicola Volpe

Editors
Cecilia Villalain, Daniel Rolnik, M. Mar Gil

Managing Editors
Murat Yayla

Statistics Editor
Resul Arısoy

OP-001 Fetal branching anomalies of the aortic arch and vascular rings: an experience of a single Italian reference center

Antonia Giudicepietro, Carmela Morelli , Fiorella Fratta, Fortuna Del Gaizo, Ludovica Spinelli Barrile, Laura Di Pietto, Beniamino Tormettino, Marialuisa Ricciardiello, Maria Giovanna Russo

Article info

OP-001 Fetal branching anomalies of the aortic arch and vascular rings: an experience of a single Italian reference center. Perinatal Journal 2024;32(2024):1 DOI: 10.59215/prn.24.032supp001

Author(s) Information

Antonia Giudicepietro1
Carmela Morelli 2
Fiorella Fratta2
Fortuna Del Gaizo2
Ludovica Spinelli Barrile2
Laura Di Pietto2
Beniamino Tormettino3
Marialuisa Ricciardiello2
Maria Giovanna Russo 2

  1. Sant’Anna e San Sebastiano Hospital, Complex Operative Unit - Obstetrics and Gynecology, Caserta, Italy
  2. University of Campania “Luigi Vanvitelli”, Pediatric Cardiology Unit, Department of Translational Medical Sciences, Naples, Italy
  3. Betania Evangelical Hospital, Obstetric Unit, Naples, Italy
Correspondence

Antonia Giudicepietro, Sant’Anna e San Sebastiano Hospital, Complex Operative Unit - Obstetrics and Gynecology, Caserta, Italy, [email protected]

Publication History

Manuscript Received: May 01, 2024

Manuscript Accepted: May 02, 2024

Earlyview Date: May 16, 2024

Publication date: May 18, 2024

Conflicts of Interest

No conflicts declared.

Objective
The aim of this study is to analyze concordance between fetal and neonatal diagnosis of branching anomalies of the aortic arch and vascular rings and their clinical outcome in a single Italian reference center
Methods
We conducted a retrospective study from January 2021 to December 2023.The prenatal diagnosis was confirmed by postnatal echocardiogram and in cases of suspected vascular rings with a computed tomography (CT)
Results
4711 fetal echocardiography were performed and branching anomalies of the aortic arch or vascular rings were suspected in 103 cases. 62 cases were an incomplete vascular ring aberrant right subclavian artery (ARSA); 1 case was associated with prenatal diagnosis of Tetralogy of Fallot (ToF); 16 cases were isolated right aortic arch (RAA) and 25 were RAA with aberrant left subclavian artery (ALSA) of which 1 case was associated with ToF and persistent left superior vena cava (PLSVC). Only 12 amniocenteses were performed, 75% results with normal karyotype and 25% with chromosomal/genetic abnormalities. In postnatal series, concordance between prenatal diagnoses was 75% for RAA, and 100% for RAA + ALSA. In postnatal, 2 cases of prenatal diagnosis of RAA were associated with ALSA and 2 cases with double aortic arch, but in 1 of these, a CT with conclusive diagnosis of RAA + ALSA was performed
Conclusion
In our series, the most common anomaly was isolated ARSA without cases of dysphagia lusoria in newborns. Our genetic evaluation is suboptimal. In the absence of major congenital heart disease association or karyotype anomalies counseling should be reassuring to parents. 
Keywords

Vascular rings, fetal echocardiography, prenatal diagnosis, congenital heart disease

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Article info
Online publication date: May 16, 2024
Perinatal Journal 2024; 32 (2024)
DOI
10.59215/prn.24.032supp001
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