Does Larger Fetal Ascending Aorta Than the Pulmonary Artery Indicate Major Cardiac Anomaly?

KALAYCI, HAKAN; Alemdaroglu, Songul; arslan, alev; yuksel simsek, seda; Doğan Durdağ, Gülşen; Yılmaz Baran, Şafak

doi:10.21613/GORM.2020.1060

Does Larger Fetal Ascending Aorta Than the Pulmonary Artery Indicate Major Cardiac Anomaly?

Şafak Yılmaz BARAN, (Başkent Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Adana, Türkiye)

Alev ARSLAN, (Başkent Üniversitesi, Tıp Fakültesi, Pediatri Anabilim Dalı, Çocuk Kardiyolojisi Bilim Dalı, Adana, Türkiye)

Gülşen DOĞAN DURDAĞ, (Başkent Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Adana, Türkiye)

Hakan KALAYCI, (Başkent Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Adana, Türkiye)

Seda Yüksel ŞİMŞEK, (Başkent Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Adana, Türkiye)

Songül ALEMDAROĞLU (Başkent Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Adana, Türkiye)

GORM:Gynecology Obstetrics & Reproductive Medicine

118 0

Yıl: 2021 Cilt: 27 Sayı: 2 Sayfa Aralığı: 89 - 93 Metin Dili: İngilizce DOI: 10.21613/GORM.2020.1060 İndeks Tarihi: 04-02-2022

Does Larger Fetal Ascending Aorta Than the Pulmonary Artery Indicate Major Cardiac Anomaly?

Öz:

OBJECTIVE: This study investigated the cases in which the fetal ascending aorta is larger than the main pulmonary artery on the three-vessel view and aimed to determine the relationship between the larger ascending aorta and major cardiac anomalies. STUDY DESIGN: Pregnancies between 18-24 gestational weeks who underwent detailed secondtrimester screening during 2015-2019 were evaluated. Cases whose fetal ascending aorta diameter was larger than fetal main pulmonary artery diameter on the three-vessel view despite normal four-chamber view were analyzed. Prenatal and postnatal echocardiography studies were performed for each case. RESULTS: Fetal ascending aorta diameter larger than fetal main pulmonary artery diameter on the three-vessel view despite normal four-chamber view was detected in 21 fetuses in a total of 3810 pregnancies (0.55%), and 10 (47.6%) of them had major congenital heart disease. The diagnosis of Tetralogy of Fallot, double outlet right ventricle, ventricular septal defect, pulmonary valve stenosis, and moderate to severe tricuspid regurgitation were confirmed with prenatal/postnatal echocardiography studies. The highest ratio of ascending aorta/main pulmonary artery was 1.4 in a fetus with a double outlet right ventricle and pulmonary valve stenosis. CONCLUSION: The fetal ratio of ascending aorta/main pulmonary artery larger than 1 on the three-vessel view may be a sign of certain cardiac anomalies. Nevertheless, this rate is not an indicator of a serious cardiac defect in all cases. Fetal advanced echocardiography and early postnatal cardiac evaluation should be done to confirm the diagnosis.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Yılmaz Baran Ş, arslan a, Doğan Durdağ G, KALAYCI H, yuksel simsek s, Alemdaroglu S (2021). Does Larger Fetal Ascending Aorta Than the Pulmonary Artery Indicate Major Cardiac Anomaly?. , 89 - 93. 10.21613/GORM.2020.1060
Chicago	Yılmaz Baran Şafak,arslan alev,Doğan Durdağ Gülşen,KALAYCI HAKAN,yuksel simsek seda,Alemdaroglu Songul Does Larger Fetal Ascending Aorta Than the Pulmonary Artery Indicate Major Cardiac Anomaly?. (2021): 89 - 93. 10.21613/GORM.2020.1060
MLA	Yılmaz Baran Şafak,arslan alev,Doğan Durdağ Gülşen,KALAYCI HAKAN,yuksel simsek seda,Alemdaroglu Songul Does Larger Fetal Ascending Aorta Than the Pulmonary Artery Indicate Major Cardiac Anomaly?. , 2021, ss.89 - 93. 10.21613/GORM.2020.1060
AMA	Yılmaz Baran Ş,arslan a,Doğan Durdağ G,KALAYCI H,yuksel simsek s,Alemdaroglu S Does Larger Fetal Ascending Aorta Than the Pulmonary Artery Indicate Major Cardiac Anomaly?. . 2021; 89 - 93. 10.21613/GORM.2020.1060
Vancouver	Yılmaz Baran Ş,arslan a,Doğan Durdağ G,KALAYCI H,yuksel simsek s,Alemdaroglu S Does Larger Fetal Ascending Aorta Than the Pulmonary Artery Indicate Major Cardiac Anomaly?. . 2021; 89 - 93. 10.21613/GORM.2020.1060
IEEE	Yılmaz Baran Ş,arslan a,Doğan Durdağ G,KALAYCI H,yuksel simsek s,Alemdaroglu S "Does Larger Fetal Ascending Aorta Than the Pulmonary Artery Indicate Major Cardiac Anomaly?." , ss.89 - 93, 2021. 10.21613/GORM.2020.1060
ISNAD	Yılmaz Baran, Şafak vd. "Does Larger Fetal Ascending Aorta Than the Pulmonary Artery Indicate Major Cardiac Anomaly?". (2021), 89-93. https://doi.org/10.21613/GORM.2020.1060

APA	Yılmaz Baran Ş, arslan a, Doğan Durdağ G, KALAYCI H, yuksel simsek s, Alemdaroglu S (2021). Does Larger Fetal Ascending Aorta Than the Pulmonary Artery Indicate Major Cardiac Anomaly?. GORM:Gynecology Obstetrics & Reproductive Medicine, 27(2), 89 - 93. 10.21613/GORM.2020.1060
Chicago	Yılmaz Baran Şafak,arslan alev,Doğan Durdağ Gülşen,KALAYCI HAKAN,yuksel simsek seda,Alemdaroglu Songul Does Larger Fetal Ascending Aorta Than the Pulmonary Artery Indicate Major Cardiac Anomaly?. GORM:Gynecology Obstetrics & Reproductive Medicine 27, no.2 (2021): 89 - 93. 10.21613/GORM.2020.1060
MLA	Yılmaz Baran Şafak,arslan alev,Doğan Durdağ Gülşen,KALAYCI HAKAN,yuksel simsek seda,Alemdaroglu Songul Does Larger Fetal Ascending Aorta Than the Pulmonary Artery Indicate Major Cardiac Anomaly?. GORM:Gynecology Obstetrics & Reproductive Medicine, vol.27, no.2, 2021, ss.89 - 93. 10.21613/GORM.2020.1060
AMA	Yılmaz Baran Ş,arslan a,Doğan Durdağ G,KALAYCI H,yuksel simsek s,Alemdaroglu S Does Larger Fetal Ascending Aorta Than the Pulmonary Artery Indicate Major Cardiac Anomaly?. GORM:Gynecology Obstetrics & Reproductive Medicine. 2021; 27(2): 89 - 93. 10.21613/GORM.2020.1060
Vancouver	Yılmaz Baran Ş,arslan a,Doğan Durdağ G,KALAYCI H,yuksel simsek s,Alemdaroglu S Does Larger Fetal Ascending Aorta Than the Pulmonary Artery Indicate Major Cardiac Anomaly?. GORM:Gynecology Obstetrics & Reproductive Medicine. 2021; 27(2): 89 - 93. 10.21613/GORM.2020.1060
IEEE	Yılmaz Baran Ş,arslan a,Doğan Durdağ G,KALAYCI H,yuksel simsek s,Alemdaroglu S "Does Larger Fetal Ascending Aorta Than the Pulmonary Artery Indicate Major Cardiac Anomaly?." GORM:Gynecology Obstetrics & Reproductive Medicine, 27, ss.89 - 93, 2021. 10.21613/GORM.2020.1060
ISNAD	Yılmaz Baran, Şafak vd. "Does Larger Fetal Ascending Aorta Than the Pulmonary Artery Indicate Major Cardiac Anomaly?". GORM:Gynecology Obstetrics & Reproductive Medicine 27/2 (2021), 89-93. https://doi.org/10.21613/GORM.2020.1060