![]() Early in their life, they will be seen for a follow-up by pediatric cardiology as an outpatient. If your baby is diagnosed with right aortic arch before delivery, they will generally not have symptoms right after birth. How Will Right Aortic Arch Impact My Baby After Delivery? As with any pregnancy, however, a mother or baby’s unique situation is also important in determining the route of delivery. If there is a concern of a right aortic arch during the screening ultrasound, a fetal echocardiogram is often performed to confirm the diagnosis and evaluate for any other associated cardiac defects.īabies with right aortic arch are typically born via vaginal delivery. ![]() However, there are some cases in which it is not diagnosed until after delivery or even into adulthood. Right aortic arch can often be detected around the 20-week screening ultrasound during pregnancy. How is Right Aortic Arch Diagnosed and Managed During Pregnancy? In some situations, however, it can result in a vascular ring. It is also frequently seen in patients with Tetralogy of Fallot and Truncus Arteriosus.Īn isolated right aortic arch often does not cause any symptoms on its own. Right aortic arch can be seen in conjunction with genetic abnormalities such as DiGeorge syndrome (22q11 deletion). With increased prenatal screening and advances in technology, it is believed it will become even more common. It is thought that 1 in every 1,000 people has a right aortic arch. If the process is reversed, the right aortic arch becomes the dominant arch. The right aortic arch usually regresses to a smaller vessel supplying the right arm, leaving the left aortic arch as the main arch. Initially, there are paired aortic arches, both right and left. The development of the aortic arch happens as early as three to four weeks into the pregnancy. The arch has three branches that carry blood to the upper portion of the body, including the head, neck and arms. The aorta forms an aortic arch along the top of the heart as it travels to the body. The aorta is the large artery that carries oxygenated blood out of the heart. Right aortic arch is a heart condition in which the aortic arch develops on the right side of the airway instead of the left side.
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