Vascular Rings and Anomalies of the Aortic Arch Vessels View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2017

AUTHORS

Michael Hofbeck , Karl-Heinz Deeg , Thomas Rupprecht

ABSTRACT

Anomalies of the aortic arch and the brachiocephalic vessels may occur in isolation or in association with congenital heart disease. Echocardiographic assessment of possible abnormalities in the position or branching of the aortic arch requires a systematic approach, based on the knowledge of the hypothetic bilateral aortic arch model according to Edwards. Identification of the brachiocephalic vessels and their connections is greatly enhanced by colour Doppler interrogation. Examination starts with the determination of the first brachiocephalic vessel and the position of the aorta from a high parasternal or suprasternal window. This approach allows to discriminate right, left and double aortic arch. In patients with double aortic arch, colour Doppler reveals patency or obstruction of either of the aortic arches. The presence of the thymus and the good imaging conditions in newborns and young infants allow to diagnose anomalies of the subclavian arteries and carotid arteries. These anomalies include aberrant origin of the subclavian artery from the descending aorta, isolation or cervical origin. Since determination of the laterality of the aortic arch and exclusion of pulmonary artery sling can be achieved quickly in infants, echocardiography represents an ideal screening method for detection of the majority of cardiovascular anomalies, which may cause obstructions of the upper airways in infancy. More... »

PAGES

309-330

References to SciGraph publications

Book

TITLE

Doppler Echocardiography in Infancy and Childhood

ISBN

978-3-319-42917-5
978-3-319-42919-9

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-3-319-42919-9_23

DOI

http://dx.doi.org/10.1007/978-3-319-42919-9_23

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1091860662


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