Right aortic arch with situs solitus frequently heralds a vascular ring.

Abstract:

OBJECTIVE:We hypothesized that a right aortic arch in situs solitus, with or without an associated cardiovascular malformation, is often associated with a vascular ring. METHODS:From those born in Southern Nevada between March 2012 and March 2017, we identified 50 (3.6 per 10,000 live births) with a right aortic arch and situs solitus. From the 50 patients, 6 did not meet inclusion criteria for further analysis. RESULTS:Of the 44 remaining, 33 (75%) had a vascular ring. Of the 33 with a vascular ring, 26 (79%) occurred with an isolated right aortic arch, and 7 (21%) had an associated cardiovascular malformation. Of the total 44 patients with a right aortic arch in situs solitus, 34 (79%) were diagnosed prenatally. CONCLUSIONS:In conclusion, we found a right aortic arch in situs solitus was often associated with a vascular ring. Further, to the best of our knowledge, no previous general population study has demonstrated an equal or higher right aortic arch, prenatal detection rate of 79%.

journal_name

Congenit Heart Dis

journal_title

Congenital heart disease

authors

Evans WN,Acherman RJ,Ciccolo ML,Carrillo SA,Mayman GA,Luna CF,Rollins RC,Castillo WJ,Galindo A,Rothman A,Alexander JA,Kwan TW,Restrepo H

doi

10.1111/chd.12487

subject

Has Abstract

pub_date

2017-09-01 00:00:00

pages

583-587

issue

5

eissn

1747-079X

issn

1747-0803

journal_volume

12

pub_type

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