Right aortic arch: the value of the upper mediastinum view in fetal echocardiography

Authors

  • Beatriz Sousa Ferreira Department of Gynecology and Obstetrics, Unidade Local de Saúde de Trás-os-Montes e Alto Douro https://orcid.org/0000-0002-4468-9642
  • Francisca Ferreira de Almeida Department of Gynecology and Obstetrics, Unidade Local de Saúde de Trás-os-Montes e Alto Douro
  • Ana Isabel Correia Department of Gynecology and Obstetrics, Unidade Local de Saúde de Trás-os-Montes e Alto Douro https://orcid.org/0000-0002-7762-153X

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v34.i2.35493

Keywords:

aortic arch, fetal echocardiography, fetal heart, prenatal ultrasonography

Abstract

The prenatal diagnosis of a right aortic arch consists of the visualization of a malposition of the aorta crossing the upper mediastinum to the right side of the trachea. The detection rate of this anatomic abnormality has improved with the introduction of the upper mediastinum views in routine fetal ultrasonographic evaluation. The following case report demonstrates a fetus affected by an isolated right aortic arch emphasizing the importance of the five Yagel views of the fetal heart.

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References

Campanale CM, Pasquini L, Santangelo TP, Iorio FS, Bagolan P, Sanders SP, Toscano A. Prenatal echocardiographic assessment of right aortic arch. Ultrasound Obstet Gynecol. 2019 Jul;54(1):96-102. doi: https://doi.org/10.1002/uog.20098.

Achiron R, Rotstein Z, Heggesh J, Bronshtein M, Zimand S, Lipitz S, Yagel S. Anomalies of the fetal aortic arch: a novel sonographic approach to in-utero diagnosis. Ultrasound Obstet Gynecol 2002; 20: 553–557.

D’Antonio F, Khalil A, Zidere V, Carvalho JS. Fetuses with right aortic arch: a multicenter cohort study and meta-analysis. Ultrasound Obstet Gynecol. 2016 Apr;47(4):423-32. doi: https://doi.org/10.1002/uog.15805.

Gao J, Zhu J, Pei Q, Li J. Prenatal ultrasonic diagnosis and differential diagnosis of isolated right aortic arch with mirror-image branching. Arch Gynecol Obstet. 2017 May;295(5):1291-1295. doi: https://doi.org/10.1007/s00404-017-4310-3.

Yoo SJ, Min JY, Lee YH, Roman K, Jaeggi E, Smallhorn J. Fetal sonographic diagnosis of aortic arch anomalies. Ultrasound Obstet Gynecol. 2003 Nov;22(5):535-46. doi: https://doi.org/10.1002/uog.897.

Topbas Selcuki NF, Senol G, Esin D, Ozkose ZG, Caypinar SS, Bornaun H, Cetin BA, Yuksel MA. Prenatal diagnosis and postnatal outcomes of right aortic arch anomalies. Arch Gynecol Obstet. 2022 Sep;306(3):745-752. doi: https://doi.org/10.1007/s00404-021-06346-7.

Mogra R, Kesby G, Sholler G, Hyett J. Identification and management of fetal isolated right-sided aortic arch in an unselected population. Ultrasound Obstet Gynecol. 2016 Dec;48(6):739-743. doi: https://doi.org/10.1002/uog.15892.

Peng R, Xie HN, Zheng J, Zhou Y, Lin MF. Fetal right aortic arch: associated anomalies, genetic anomalies with chromosomal microarray analysis, and postnatal outcome. Prenat Diagn. 2017 Apr;37(4):329-335. doi: https://doi.org/10.1002/pd.5015.

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Published

2025-06-26

How to Cite

1.
Sousa Ferreira B, Ferreira de Almeida F, Correia AI. Right aortic arch: the value of the upper mediastinum view in fetal echocardiography. BGMJ [Internet]. 2025 Jun. 26 [cited 2026 Jan. 13];34(2):90-2. Available from: https://revistas.rcaap.pt/bgmj/article/view/35493

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