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Pregnancy

Talk about every stage of pregnancy, from early symptoms to preparing for birth.

Right Sided Aortic Arch

13 replies

N28CJX · 31/12/2022 16:11

My baby has been diagnosed with an isolated Right Sided Aortic Arch with mirror branching image at 20 weeks scan…

Is there any other mums out there who’s babies have had this and been fine?

OP posts:
Emkins · 04/01/2023 10:31

Heya!!
I had the same diagnosis at our 20 week scan and completely crushed us!
We got referred to St. George’s in London - I did an amniocentesis as It could be linked to other ailments.
Results came back clear and was a healthy little girl!
We had regular checks and scans and everything was always positive!
The midwife’s and doctors by what the scans were showing wasn’t concerned about having any special delivery and could proceed to what was in my birth plan or any special checks immediately after!
We got referred to royal Brompton in London at 6 months and everything was really positive!
As they are new scans yourself or I could have this condition and many many people and not even know it !
At St. George’s there was 2 pregnant women a week being referred there too for the same thing which I thought was reassuring.
My daughter is 14 months now and is absolutely perfect!
All the horrible signs we had to look out for if it was affecting her -we’ve had none of that!
Shes absolutely thriving and has always hit her mile stones way before she should , she’s such a happy smart toddler !
So hopefully she will be ok going forward too 🙏🏻
My friends daughter has the same and she’s 10 and never had a problem/ surgery .
Sprinkling positivity your way! It’s not all doom and gloom I promise !
keep me updated , here for any questions !
oxox

N28CJX · 04/01/2023 14:21

Thank you so much for your positive post!
Theres loads of things about RSAA but nothing with the mirror branching image and the only thing I could find was that it was less likely to cause a vascular ring or any problems… Still absolutely horrible to hear at 20 weeks that your baby has a heart problem but to know that actually it is quite minor compared to some things is reassuring aswell! I give birth in literally 4 weeks so I’m hoping everything goes well 🤞🏽🤞🏽

Thank you so much and I’m glad your daughter is absolutely fine bless her x

OP posts:
Izzy1991 · 17/02/2023 23:15

Hey there

Congratulations on the birth of your baby I imagine as your comment was a few weeks ago you would have had your baby by now! I hope everything went well and you are getting on play with your newborn!

i came across this thread as my baby boy has been diagnosed with Right aortic arch (RAA) with isolated left subclavian artery at our 20 week scan. We were referred to Southampton hospital last week where this diagnoses was confirmed, the cardiologist said this looks like a variation of normal and that he didn’t need to see us again. He did however say that there is a 3-5% chance of digeorge sydrome with this particular heart defect. We were offered an amino but I just felt the risk of miscarriage for this was too high given I seem to fall in the small percentages of things (first baby breech and I had preeclampsia) I have looked into NIPD testing but for digeorge a lot of places say it can bring up false negatives or positives so wouldn’t really help me. Everything else on the scan was all looking fine and normal I’m just so worried about the potential stats around Digeorge.

Just wondered if anyone else has had the same diagnoses and what were the outcomes?

Many thanks

N28CJX · 18/02/2023 04:11

Hello!
Yes he is here and perfect!
his is a mirror branching image so slightly different but he had an heart scan when he was born and everything was looking like a normal variant.
I didn’t have no tests for diGeorge in pregnancy but when he was born they sent his cord blood off for testing for me.
I hope you’re alright and even though it’s scary, when they’re here they’re so worth the worry xxxx

OP posts:
Izzy1991 · 18/02/2023 08:25

Thank you so much for replying! Ahh congratulations on the birth of your baby boy I’m glad he is doing well!

Ahh yes that’s what they said they are going to do for us is sending off his cord blood to do the test for digeorge, I think it’s just a worry for next like 18 weeks and the stats just scare you even though I know for this type of heart condition it is quite small! Just hope everything will be okay 🙏🏻

N28CJX · 18/02/2023 11:55

I worried massively I won’t lie, but the minute I seen him the worry went because even if he did have that, he is absolutely perfect in every single way, so I know you will feel the same about your baby! Although it doesn’t make it any easier whilst pregnant.
Try not to worry and enjoy pregnancy because my boys 3 week old on Wednesday it’s gone way too fast already x

OP posts:
Izzy1991 · 19/02/2023 15:01

Yeah I think I will now worry until he’s here and I know that everything is okay. Just so stressful I wish they could have a non invasive way of testing. Yesss it goes so fast doesn’t it my first little one is 21 months and I can’t believe where that time has gone! Hopefully I can try and relax but to be honest I don’t think will be able too 😩 xx

MummaDaisy · 05/11/2023 20:46

Hi,

im wondering if either of you have any updates?

Last week my baby was diagnosed with a right aortic arch too with mirror image branching.
This is my fourth pregnancy following 3 miscarriages - one due to Turners syndrome which we know of.
so to be put in the position of having another potential chromosome issue I am honestly terrified something is wrong with me.

Because of my history- I have decided against an amniocentesis out of fear of miscarriage and knowing that we wouldn’t terminate the pregnancy anyway - but I like to be prepared so it’s killing me to not know and I can’t sleep at night.

some days I feel positive but others I panic. I’ve been so unlucky before and even though I’ve been told the risk of digeorge is low 5-8%, I know I’ve been majorly unlucky before so just feel like my baby would be in that group.

im considering a private NIPT but they’re crazy expensive. I just need to hear your experiences if possible 🙏🏼

Izzy1991 · 06/11/2023 02:42

Hi Daisy.

Firstly many congratulations on your pregnancy and sorry to hear of your losses in your previous pregnancies.

My son was diagnosed with Right-sided Aortic Arch with Aberrant Left Subclavian Artery at our 20 weeks scan with his vascular ring already formed.

I also decided against having the amino as for me the risk of losing him was too high for me and we wouldn’t have terminated because the outcome of the amino doesn’t tell you how severe it would be if he were to have digeorge. I also looked into a private NIPT but from where I had researched and read there was 50% chance of getting a false positive which to me paying all that money for a 50% outcome to be no better off seemed a bit pointless I know that’s why they aren’t given in the NHS because you can’t always get an accurate reading in detecting Digeorge.

My thought process was if I found my baby had digeorge like I said above the amino doesn’t tell you how severe it is, so if he were to have it, it could be mild or severe but the test can’t tell you that regardless and I know some babies with digeorge live normal healthy lives.

I won’t lie I worried throughout my whole pregnancy from when we found out and had all the possibly outcomes in my head. It was hard to remain positive and enjoy my pregnancy with all that worry.

One thing where I did get reassurance was from the scans, so I know that digeorge can also show up a number of other defects like cleft lip/palate, club foot, other heart conditions and them to stop growing in the womb.

We were referred to Southampton where they confirmed he definitely had the right aortic arch but everything else looked normal. However my worry didn’t stop. At around 28 weeks my local hospital said they would do me another scan just for ressurance to check if he was still growing nicely and if they could detect anything else luckily when we went to the scan nothing else came up. This did make me feel more reassured but obviously I still had the worry, as I seemed to fall into the low percentages of things as in my first pregnancy with my daughter I had preeclampsia, she was was breech and I went into natural labour, in the early hours on the day of my planned c section so I thought well what if my baby falls into this 5% percentage too.

Fast forward to June I had my little boy and as soon as I saw his little face I knew he was fine I think just mother’s instinct. We decided to have his cord bloods taken as soon as he was born to send off for genetic testing, we had to wait 2 weeks for the results but everything came back as normal and he had no chromosome defects, was a happy, healthy little boy.

Since birth he has had a CT scan which was offered as part of the right aortic arch diagnoses and so far he’s had no issues feeding or gaining weight in fact he’s on the 98th percentile for weight and length and he’s doing so well. They said we will have more of an indication if his vascular ring will cause him issues once we start weaning him so we just have to keep an eye on him particular for his breathing or if he chokes a lot more than normal babies. We have another check up with the heart team in the New Year just to see how things are going, If he does require surgery they said it would be a simple key hole procedure so not like open heart or anything like that, but again it’s likely he may not need this. They did say however as a baby with a right sided aortic arch he would be more prone to chest infections and as it happens we were in hospital yesterday as he has got Bronchiolitis, however his 2 year old sister was poorly last week so I think he’s caught it from her so there isn’t really a way to tell whether it’s worse because of the heart condition or if it’s just one of those winter illnesses he would have picked up anyway.

Sorry I know this post is quite long but I hope I’ve provided you with some reassurance, happy to talk or answer any other questions you may have as I remember how down and scared I felt the whole time from 20 weeks it was all I could think about.

There is also a really lengthy post on right aortic arches on net mums of other women sharing their stories it’s a fairly old thread but I found some of their stories really helpful to read. https://www.netmums.com/coffeehouse/drop-clinic-984/baby-child-health-989/1231003-anyone-have-experience-right-sided-aortic-arch-27.html

I hope I’ve been some help! I would definitely try and get another scan around 28-30 weeks, see if your hospital will let you have another or perhaps pay private instead of doing the NIPT? Where you referred to another hospital when you found about the right sided aortic arch? We were but then were passed back to the care of our local hospital.

Anyone have experience with a right sided aortic arch? - Page: 27

I'm 21 weeks pregnant and my baby has been diagnosed with a right sided aortic arch. I have been assured by doctors that - Page: 27

https://www.netmums.com/coffeehouse/drop-clinic-984/baby-child-health-989/1231003-anyone-have-experience-right-sided-aortic-arch-27.html

N28CJX · 06/11/2023 07:49

Yes! My baby is 9 month in currently sat waiting to see if his surgery will go ahead today or if it will be rescheduled, he’s been fine though! No choking on his solids etc but he had a CT and it shown compression so I opted for surgery like the surgeon told me would be appropriate whilst he’s still small and doesn’t remember it. The hospital is very busy and with his not been an emergency surgery due to been fine I mean he’s 2 ft 3 and nearly 2 stone at 9 month so he’s definitely growing fine🤣 so his surgery may get rescheduled.

he didn’t end up having digeorge, hope you’re ok xx

OP posts:
MariaLove · 24/11/2023 21:48

How did the CT scan go? We are having it in few weeks and I am absolutely terrified and worried when I read the procedure. He was diagnosed with RAA during pregnancy and ASD and VSD after pregnancy. He is now 4 months.

N28CJX · 25/11/2023 00:55

So my little boy had surgery 9 days ago and the stories aren’t always bad! My boy was crawling round his cot the same night of surgery pulling himself up etc and home 3 days later! He’s done amazing and I’m so so glad we had it done young because he’s bounced back to himself so quickly! Hope all is well let me know x

OP posts:
Seashore88 · 15/08/2024 14:12

Izzy1991 · 06/11/2023 02:42

Hi Daisy.

Firstly many congratulations on your pregnancy and sorry to hear of your losses in your previous pregnancies.

My son was diagnosed with Right-sided Aortic Arch with Aberrant Left Subclavian Artery at our 20 weeks scan with his vascular ring already formed.

I also decided against having the amino as for me the risk of losing him was too high for me and we wouldn’t have terminated because the outcome of the amino doesn’t tell you how severe it would be if he were to have digeorge. I also looked into a private NIPT but from where I had researched and read there was 50% chance of getting a false positive which to me paying all that money for a 50% outcome to be no better off seemed a bit pointless I know that’s why they aren’t given in the NHS because you can’t always get an accurate reading in detecting Digeorge.

My thought process was if I found my baby had digeorge like I said above the amino doesn’t tell you how severe it is, so if he were to have it, it could be mild or severe but the test can’t tell you that regardless and I know some babies with digeorge live normal healthy lives.

I won’t lie I worried throughout my whole pregnancy from when we found out and had all the possibly outcomes in my head. It was hard to remain positive and enjoy my pregnancy with all that worry.

One thing where I did get reassurance was from the scans, so I know that digeorge can also show up a number of other defects like cleft lip/palate, club foot, other heart conditions and them to stop growing in the womb.

We were referred to Southampton where they confirmed he definitely had the right aortic arch but everything else looked normal. However my worry didn’t stop. At around 28 weeks my local hospital said they would do me another scan just for ressurance to check if he was still growing nicely and if they could detect anything else luckily when we went to the scan nothing else came up. This did make me feel more reassured but obviously I still had the worry, as I seemed to fall into the low percentages of things as in my first pregnancy with my daughter I had preeclampsia, she was was breech and I went into natural labour, in the early hours on the day of my planned c section so I thought well what if my baby falls into this 5% percentage too.

Fast forward to June I had my little boy and as soon as I saw his little face I knew he was fine I think just mother’s instinct. We decided to have his cord bloods taken as soon as he was born to send off for genetic testing, we had to wait 2 weeks for the results but everything came back as normal and he had no chromosome defects, was a happy, healthy little boy.

Since birth he has had a CT scan which was offered as part of the right aortic arch diagnoses and so far he’s had no issues feeding or gaining weight in fact he’s on the 98th percentile for weight and length and he’s doing so well. They said we will have more of an indication if his vascular ring will cause him issues once we start weaning him so we just have to keep an eye on him particular for his breathing or if he chokes a lot more than normal babies. We have another check up with the heart team in the New Year just to see how things are going, If he does require surgery they said it would be a simple key hole procedure so not like open heart or anything like that, but again it’s likely he may not need this. They did say however as a baby with a right sided aortic arch he would be more prone to chest infections and as it happens we were in hospital yesterday as he has got Bronchiolitis, however his 2 year old sister was poorly last week so I think he’s caught it from her so there isn’t really a way to tell whether it’s worse because of the heart condition or if it’s just one of those winter illnesses he would have picked up anyway.

Sorry I know this post is quite long but I hope I’ve provided you with some reassurance, happy to talk or answer any other questions you may have as I remember how down and scared I felt the whole time from 20 weeks it was all I could think about.

There is also a really lengthy post on right aortic arches on net mums of other women sharing their stories it’s a fairly old thread but I found some of their stories really helpful to read. https://www.netmums.com/coffeehouse/drop-clinic-984/baby-child-health-989/1231003-anyone-have-experience-right-sided-aortic-arch-27.html

I hope I’ve been some help! I would definitely try and get another scan around 28-30 weeks, see if your hospital will let you have another or perhaps pay private instead of doing the NIPT? Where you referred to another hospital when you found about the right sided aortic arch? We were but then were passed back to the care of our local hospital.

Edited

Hi, thanks for sharing your story.

our baby has been diagnosed with the same this week and it’s scary stuff! No other abnormalities other than RAA which has made a ring around the oesophagus/trachea. I know I’ll be offered amnio when I go for a further fetal echo by the main children’s hospital but the fetal medicine consultant and sonographer was happy that there’s no other anomalies - which I know are more likely with chromosomal abnormalities.

my gut says baby will be fine but it’s so hard isn’t it? We’ve fallen into the 1:1000 category twice now, with the RAA and this surprise baby after my husbands vasectomy. Our older kids are so excited and I don’t think I could take the risk of an anomaly, results coming back normal and having a negative outcome due to the amnio itself. It’s a nag in the back of your mind though, isn’t it?

baby is measuring around 61st centile at 20 weeks, and had grown in the week between routine scan and the one by the fetal medicine consultant. Feel regular movements each day too which is reassuring. We’re on holiday at the moment, the consultant said she wasn’t worried enough for me to stay home and would follow up with the main children’s hospital in a few weeks. Still such a worry though! Feel like I’m doing nothing but reading studies constantly!

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