Value of Different Sections of Echocardiography in the Diagnosis of Fetal Congenital Vascular Ring

Linkun TA; Yanling HUANG; Jingqiu ZhANG; Yongping LU

doi:10.12259/j.issn.2095-610X.S20220615

Volume 43 Issue 6

Jun. 2022

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Article Navigation > Journal of Kunming Medical University > 2022 > 43(6): 79-84

Linkun TA, Yanling HUANG, Jingqiu ZhANG, Yongping LU. Value of Different Sections of Echocardiography in the Diagnosis of Fetal Congenital Vascular Ring[J]. Journal of Kunming Medical University, 2022, 43(6): 79-84. doi: 10.12259/j.issn.2095-610X.S20220615

Citation:

Linkun TA, Yanling HUANG, Jingqiu ZhANG, Yongping LU. Value of Different Sections of Echocardiography in the Diagnosis of Fetal Congenital Vascular Ring[J]. Journal of Kunming Medical University, 2022, 43(6): 79-84. doi: 10.12259/j.issn.2095-610X.S20220615

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Value of Different Sections of Echocardiography in the Diagnosis of Fetal Congenital Vascular Ring

doi: 10.12259/j.issn.2095-610X.S20220615

Dept. of Ultrasound，Affiliated Hospital of Yunnan University，Kunming Yunnan 650021，China

Received Date: 2022-03-04
Publish Date: 2022-06-25

Abstract

Abstract

Objective To analyze the diagnostic value of different sections of echocardiography in fetal congenital vascular ring （CVR）. Methods The echocardiography data and follow-up results of 60 cases of CVR diagnosed in Yunnan University Hospital from January 2018 to January 2021 were retrospectively analyzed. The three vessel trachea section （3VT）, the descending arch coronal section and the three vessel pulmonary artery branch section were observed. The ultrasonographic characteristics of CVR in 3VT, coronal section of descending arch and three-vessel pulmonary artery branch were summarized. The diagnosis of CVR in 3VT, 3VT + descending arch coronal section, 3VT + descending arch coronal section + three-vessel pulmonary artery branch section was compared. Results Among 60 cases of CVR diagnosed by echocardiography, 59 cases were confirmed to be CVR （accuracy rate 98.3%）, and 1 case was misdiagnosed （misdiagnosis rate 1.7%）, which was confirmed by pathological autopsy after labor induction, postpartum echocardiography, CT or MRI follow-up. The diagnostic rate of 3VT + descending arch coronal section + three-vessel pulmonary artery branch section was higher than that of 3VT and 3VT + descending arch coronal section （P < 0.05）, and the diagnostic rate of 3VT + descending arch coronal section was higher than that of 3VT （ P < 0.05）. Conclusion 3VT + coronal section of descending arch + three-vessel section of pulmonary artery branch is an important section for the diagnosis of fetal CVR, with high diagnostic accuracy and important clinical application value.

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References(19)

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