AbstractObjectiveTo analyze the value of prenatal diagnostic genetic testing in cases with isolated aberrant right subclavian artery (ARSA).MethodsThis is a retrospective cohort study, conducted between January 2015–January 2022 in a fetal medicine center. Women who had an ultrasound scan and diagnosed with fetal ARSA were included. Ultrasonographic characteristics, genetic, obstetric, and neonatal outcomes were collected and analyzed.ResultsA total of 240 fetuses with ARSA were identified and included to the analysis. Eighty‐two of the group had isolated ARSA (34.2%, 82/240), 57 had additional soft markers (23.8%, 57/240) and 101 had additional major ultrasonographic abnormalities (42.1%, 101/240). Genetic results were available in 196 cases (81.7%, 196/240). Seventy‐four of isolated ARSA cases underwent genetic testing (90.2%, 74/82). A chromosomal abnormality was present in 60 cases; 54 (22.5%, 54/240) aneuploidies and 6 (2.5%, 6/240) copy number variants. Five (6.1%) of the isolated ARSA cases had chromosomal abnormalities. All of these five cases had prenatal genetic testing due to high‐risk aneuploidy screening fetuses who had ARSA with at least one additional anomaly had the highest chromosomal abnormality rate (38.6%, 39/101). Seventy‐seven of isolated ARSA cases were liveborn (93.9%, 77/82).ConclusionOur results supports the evidence from the literature that isolated ARSA confers a very low‐risk for aneuploidy, if the aneuploidy screening tests are low‐risk. Also, chromosomal microarray analysis did not yield any extra information in isolated ARSA.