Utility of prenatal ultrasound in diagnosis and prognosis of aortic arch obstruction: a 10-year single-center retrospective study - Scorecard - MDSpire
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Utility of prenatal ultrasound in diagnosis and prognosis of aortic arch obstruction: a 10-year single-center retrospective study
Clinical Scorecard: Evaluating the Role of Prenatal Ultrasound in Identifying and Predicting Outcomes of Aortic Arch Obstruction: A Decade-Long Retrospective Analysis from a Single Center
At a Glance
Category
Detail
Condition
Aortic Arch Obstruction
Key Mechanisms
Differentiation between interrupted aortic arch (IAA) and coarctation of the aorta (CoA) using prenatal echocardiography.
Target Population
Fetuses diagnosed with aortic arch obstruction.
Care Setting
Tertiary center prenatal care.
Key Highlights
Prenatal diagnostic accuracy for aortic arch obstruction was 90.28%.
IAA cases showed more severe hypoxia and cyanosis compared to CoA.
Intracardiac malformations occurred in 88.89% of cases.
IAA is associated with poorer early outcomes than CoA.
Close postnatal surveillance is required for CoA cases.
Guideline-Based Recommendations
Diagnosis
Utilize prenatal echocardiography to detect aortic arch obstruction.
Management
Maintain ductal patency with prostaglandin E1 in IAA cases.
Monitoring & Follow-up
Conduct timely neonatal cardiac management and assessment postnatally.
Risks
Higher prevalence of combined anomalies in IAA cases.
Patient & Prescribing Data
Fetuses diagnosed with IAA and CoA.
Surgical interventions significantly improve survival rates in infants with aortic arch obstruction.
Clinical Best Practices
Accurate prenatal differentiation between IAA and CoA is crucial for early risk stratification.
Implement advanced echocardiographic modalities to enhance diagnostic precision.
