Skip to main content
SpringerLink
Log in

Prenatal diagnosis and postnatal outcome of persistent right ductus arteriosus: a report of three cases

  • Case Report
  • Published:
Journal of Medical Ultrasonics Aims and scope Submit manuscript

Abstract

The ductus arteriosus is a fetal vascular connection between the main pulmonary artery and aorta that diverts blood away from the pulmonary bed. Left and right ductus arteriosi emerge from embryological aortic arches. In normal embryologic cardiac development, both right aortic and ductal arches regress and the left ones persist. Persistent right ductus arteriosus (rDA) is one of the congenital anomalies of the ductal arch. In this paper, we report three cases of persistent right ductus arteriosus with right aortic arch.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Moller JH, Hoffman JIE. Pediatric cardiovascular medicine. Oxford: Blackwell publishing; 2012. p. 344–5.

    Book  Google Scholar 

  2. Hastreiter AR, D’Cruz IA, Cantez T, et al. Right-sided aorta. I. Occurrence of right aortic arch in various types of congenital heart disease. II. Right aortic arch, right descending aorta, and associated anomalies. Br Heart J. 1966;28:722–39.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  3. Miranda JO, Callaghan N, Miller O, et al. Right aortic arch diagnosed antenatally: associations and outcome in 98 fetuses. Heart. 2014;100:54–9.

    Article  PubMed  Google Scholar 

  4. Patel CR, Lane JR, Spector ML, et al. Fetal echocardiographic diagnosis of vascular rings. J Ultrasound Med. 2006;25:251–7.

    PubMed  Google Scholar 

  5. Galindo A, Nieto O, Nieto MT, et al. Prenatal diagnosis of right aortic arch: associated findings, pregnancy outcome, and clinical significance of vascular rings. Prenat Diagn. 2009;29:975–81.

    Article  CAS  PubMed  Google Scholar 

  6. Seao HK, Je HG, Kang IS, et al. Prenatal double aortic arch presenting with a right aortic arch and an anomalous artery arising from the ascending aorta Int. J Cardiovasc İmaging. 2010;26:165–8.

    Article  Google Scholar 

  7. Holden AM, del Río Hurtado D, Bialostosky Krichevsky L. Persistent right ductus arteriosus and right type I aortic arch. Report of a case. Archivos del Instituto de Cardiología de México. 1982;52:55–7.

    CAS  PubMed  Google Scholar 

  8. Akiyama K, Hasegawa T, Kitamura S, et al. Right-sided patent ductus arteriosus with a right aortic arch and right descending aorta. Kyobu Geka. 1992;45:442–5.

    CAS  PubMed  Google Scholar 

  9. Iliescu DG, Comanescu AC, Tudorache S, et al. Right aortic arch with patent right ductus arteriosus and normal heart. Ultrasound Obstet Gynecol. 2012;40:15–6.

    Google Scholar 

  10. Bronshtein M, Zimmer EZ, Blazer S, et al. Right ductus arteriosus: facts and theory. Eur J Obstet Gynecol Reprod Biol. 2011;159:282–8.

    Article  PubMed  Google Scholar 

  11. Gul A, Gungorduk K, Yildirim G, et al. Prenatal sonographic features of persistent right ductus arteriosis with a left aortic. Arch J Obstet Gynaecol. 2013;33:86–7.

    Article  CAS  PubMed  Google Scholar 

  12. Montana E, Khoury MJ, Cragan JD, et al. Trends and outcomes after prenatal diagnosis of congenital cardiac malformations by fetal echocardiography in a well defined birth population, Atlanta Georgia, 1990–1994. J Am Coll Cardiol. 1996;28:1805–9.

    Article  CAS  PubMed  Google Scholar 

  13. Gardiner H, Chaoui R. The fetal three-vessel and tracheal view revisited. Semin Fetal Neonatal Med. 2013;18:261–8.

    Article  PubMed  Google Scholar 

  14. Yagel S, Arbel R, Anteby EY, et al. The three vessels and trachea view (3VT) in fetal cardiac scanning. Ultrasound Obstet Gynecol. 2002;20:340–5.

    Article  CAS  PubMed  Google Scholar 

  15. Puder KS, Sherer DM, Ross RD, et al. Prenatal ultrasonographic diagnosis of ductus arteriosus aneurysm with spontaneous neonatal closure. Ultrasound Obstet Gynecol. 1995;5:342–5.

    Article  CAS  PubMed  Google Scholar 

  16. Weichert J, Hartge DR, Axt-Fliedner R. The fetal ductus arteriosus and its abnormalities: a review. Congenit Heart Dis. 2010;5:398–408.

    Article  PubMed  Google Scholar 

  17. Van Hare GF, Townsend SF, Hardy K, et al. Interrupted aortic arch with a right descending aorta and right ductus arteriosus, causing severe right bronchial compression. Pediatr Cardiol. 1988;9:171–4.

    Article  PubMed  Google Scholar 

  18. Traxer O, de Lagausie P, Kron C, et al. Left aortic arch–right descending aorta–right ductus arteriosus (encircling aortic arch). A rare malformation of the aortic arches. Arch Pediatr. 1998;5:409–13.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Maternal and Fetal Medicine, Kanuni Sultan Suleyman Education and Research Hospital, Fevzi Cakmak mah., Barbaros cd. 775 Sk, Validesuyu Konutlari, C2 blok, D:34 Gaziosmanpasa, Istanbul, Turkey

    Ali Ekiz

  2. Istanbul Prenatal, Istanbul, Turkey

    Ahmet Gul

  3. Atasehir Sifa Hospital, Istanbul, Turkey

    Mehmet Uludogan

  4. Department of Pediatric Cardiology, Kanuni Sultan Suleyman Education and Research Hospital, Istanbul, Turkey

    Helen Bornaun

Authors
  1. Ali Ekiz
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ahmet Gul
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Mehmet Uludogan
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Helen Bornaun
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ali Ekiz.

Ethics declarations

Conflict of interest

The authors have no conflict of interest.

Ethical consideration

Additional informed consent was obtained from all patients for which identifying information is included in this article.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Video clip of rDA with RAA: At pulmonary bifurcation level, axial section shows the rDA emerging from the pulmonary bifurcation and joining the descending aorta. Trachea, left pulmonary artery, right aortic arch, and superior vena cava are also seen. (MP4 3825 kb)

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ekiz, A., Gul, A., Uludogan, M. et al. Prenatal diagnosis and postnatal outcome of persistent right ductus arteriosus: a report of three cases. J Med Ultrasonics 42, 571–574 (2015). https://doi.org/10.1007/s10396-015-0644-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10396-015-0644-2

Keywords

Search

Navigation