Neonatal magnetic resonance imaging in double aortic arch diagnosed prenatally by ultrasound

Abstract

Congenital double aortic arch (DAA) is an uncommon vascular anomaly; however, its prenatal detection is associated with congenital heart defects and chromosomal abnormalities, including 22q11 deletion. We present a case of DAA diagnosed prenatally. DAA can be diagnosed by prenatal ultrasound in the transverse three vessel-trachea view, which shows a trident image formed by a complete vascular ring and the ductus arteriosus. Postnatal magnetic resonance images in this view correlate well with prenatal ultrasound images and help in confirmation of diagnosis, evaluation of the risk of airway or esophageal compression, and planning of surgery.

Keywords::

• Aortic arch anomaly
• double aortic arch
• magnetic resonance imaging
• prenatal diagnosis
• vascular ring

Acknowledgements

The authors are grateful to Mr Thomas O’Boyle for editorial assistance.

Declaration of interest

The authors report no declarations of interest. This work was supported by grants from Fondo de Investigaciones Sanitarias (FIS# PI13-02769).