Donald School Journal of Ultrasound in Obstetrics and Gynecology

Register      Login

VOLUME 18 , ISSUE 2 ( April-June, 2024 ) > List of Articles

CASE REPORT

Fetal Hairpin Curve Tortuous Ascending Aorta

Toshiyuki Hata, Ai Sakamoto, Riko Takayoshi, Takahito Miyake, Mika Sugihara, Koichiro Shimoya, Takahiro Eitoku

Keywords : Case report, Cervical aortic arch, Fetus, Hairpin curve tortuous ascending aorta, HDlive flow, Radiant flow, Three-dimensional reconstruction

Citation Information : Hata T, Sakamoto A, Takayoshi R, Miyake T, Sugihara M, Shimoya K, Eitoku T. Fetal Hairpin Curve Tortuous Ascending Aorta. Donald School J Ultrasound Obstet Gynecol 2024; 18 (2):100-103.

DOI: 10.5005/jp-journals-10009-2015

License: CC BY-NC 4.0

Published Online: 21-06-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

We present hairpin curve tortuous ascending aorta of the fetus using radiant flow and HDlive flow. In a fetus with cystic hygroma and ductus venosus reverse flow at 12 weeks and 6 days of gestation, hypoplastic right ventricle and enlarged right atrium with significant tricuspid regurgitation were noted, and hairpin curve tortuous ascending aorta was evident using radiant flow and HDlive flow. At 17 weeks and 5 days of gestation, chromosome analysis showed Miller–Dieker syndrome [46XY, del(17)(p13.1)]. In another fetus at 21 weeks of gestation, hairpin curve tortuous ascending aorta and dilated pulmonary artery were identified using radiant flow. HDlive flow clearly revealed hairpin curve tortuous ascending aorta, dilated pulmonary artery, and cervical aortic arch. There were no obvious phenotypic features of connective-tissue disorder or other malformation. Tortuous ascending aorta and cervical aortic arch were confirmed after birth. To the best of our knowledge, this might be the first report of hairpin curve tortuous ascending aorta of the fetus with no obvious phenotypic features of connective-tissue disorder.


PDF Share
  1. Saravu Vijayashankar S, Culham JAG, Moodley S. First antenatally confirmed case of arterial tortuosity syndrome. Cardiol Young 2020;30(11):1738–1740. DOI: 10.1017/S1047951120002644
  2. Liang M, Wen H, Li S. Two fetuses in one family of arterial tortuosity syndrome: prenatal ultrasound diagnosis. BMC Pregnancy Childbirth 2021;21(1):548. DOI: 10.1186/s12884-021-03960-w
  3. Karmegaraj B, Rajeshkannan R, Kappanayil M, et al. Fetal descending aortic tortuosity with ductal aneurysm. Ultrasound Obstet Gynecol 2019;54(1):142–144. DOI: 10.1002/uog.20303
  4. Ito M, AboEllail MAM, Yamamoto K, et al. HDlive flow silhouette mode and spatiotemporal image correlation for diagnosing congenital heart disease. Ultrasound Obstet Gynecol 2017;50(3):411–415. DOI: 10.1002/uog.17519
  5. Malho AS, Bravo-Valenzuela NJ, Ximenes R, et al. Antenatal diagnosis of congenital heart disease by 3D ultrasonography using spatiotemporal image correlation with HDlive flow and HDlive flow silhouette rendering modes. Ultrasonography 2022;41(3):578–596. DOI: 10.14366/usg.21165
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.