Advertisement

Patent Ductus Arteriosus

  • Azin AlizadehaslEmail author
  • Anita SadeghpourEmail author
  • Majid Kyavar
Chapter
  • 1.2k Downloads

Abstract

The ductus arteriosus originates from the left sixth primitive aortic arch and links the proximal left pulmonary artery to the descending aorta, just beneath to the left subclavian artery.

Keywords

Patent Ductus Arteriosus (PDA) Silent PDA Continuous Murmur Differential Cyanosis Echocardiography 

Supplementary material

Video 24.1

Parasternal SAX view demonstrating 2D dropout between the left pulmonary artery (LPA) and descending aorta(DAO) suggestive of PDA (MPG 2708 kb)

Video 24.2

Color Doppler flow imaging in parasternal short-axis view showing high velocity continuous turbulent flow entering to the pulmonary artery (PA) near the LPA origine. (MPG 2770 kb)

Video 24.3

Suprasternal long axis view showing a large PDA between the LPA origin and proximal DAO (MPG 1998 kb)

Video 24.4

Large PDA in transesophageal echocardiography study (MPG 1750 kb)

Video 24.5

The same patient with large PDA which is confirmed by continuous turbulent flow in transesophageal echocardiography study (MPG 3368 kb)

Video 24.6

Suprasternal long axis view CFI study showing a large PDA between the LPA origin and proximal DAO (MPG 1280 kb)

Video 24.7

Right sided contrast injection (agitated saline injection ) in the antecubital vein showing the bubble transmission from pulmonary artery to the descending aorta (DAO) in a patient with PDA and high pulmonary vascular resistance (MPG 1440 kb)

Video 24.8

Catheter passes from inferior vena cava (IVC) through right atrium (RA) and right ventricle (RV) into pulmonary trunk enters descending thoracic aorta via patent ductus arteriosus (PDA) (MPG 1808 kb)

Video 24.9

Arterial course and injection in the aortic arch at lateral view shows PDA (WMV 516 kb)

References

  1. 1.
    Bonow RO, Mann DL, Zipes DP, Libby P. Braunwald’s heart disease: a textbook of cardiovascular medicine. 9th ed. Philadelphia: Elsevier/Saunders; 2011. p. 1435–50.Google Scholar
  2. 2.
    Gatzoulis MA, Webb GD, Broberg CS, Uemura H. Cases in adult congenital heart disease. Philadelphia: Churchill Livingstone; 2010.Google Scholar
  3. 3.
    Warnes C, Williams RG, Bashore TM, et al. ACC/AHA, guidelines for the management of adults with congenital heart disease. J Am Coll Cardiol. 2008;52(23):2008.CrossRefGoogle Scholar
  4. 4.
    Warnes CA, American Heart Association. Adult congenital heart disease, AHA clinical series. Hoboken: Wiley; 2009. p. 9–24. Chapter 2.CrossRefGoogle Scholar
  5. 5.
    Allen HD, Driscoll DJ, Shaddy RE. Moss and Adams’ heart disease in infants, children, and adolescents: including the fetus and young adults. 7th ed. Philadelphia: Lippincott Williams & Wilkins; 2008.Google Scholar
  6. 6.
    Record FG, McKeown T. Observations relating to the aetiology of patent ductus arteriosus. Br Heart J. 1953;15:376–86.PubMedCentralPubMedCrossRefGoogle Scholar
  7. 7.
    Hoffman JIE, Kaplan S. The incidence of congenital heart disease. J Am Coll Cardiol. 2002;39:1890–900.PubMedCrossRefGoogle Scholar
  8. 8.
    Cassels DE. The ductus arteriosus. Springfield: Charles C. Thomas; 1973.Google Scholar
  9. 9.
    Gittenberger-de Groot AC, Moulaert AJ, Hitchcock JF. Histology of the persistent ductus arteriosus in cases of congenital rubella. Circulation. 1980;62:183–6.PubMedCrossRefGoogle Scholar
  10. 10.
    Eidem BW, Cetta F, O’leary PW. Echocardiography in pediatric and adult congenital heart disease. Philadelphia: Lippincott Williams & Wilkins; 2012.Google Scholar
  11. 11.
    Becker TE, Ensing GJ, Darragh RK, et al. Doppler derivation of complete pulmonary artery pressure curves in patent ductus arteriosus. Am J Cardiol. 1996;78:1066–9.PubMedCrossRefGoogle Scholar
  12. 12.
    Masura J, Gavora P, Podnar T. Transcatheter occlusion of patent ductus arteriosus using a new angled Amplatzer duct occluder: initial clinical experience. Catheter Cardiovasc Interv. 2003;58:261–7.PubMedGoogle Scholar
  13. 13.
    Sideris EB, Rao PS. Sideris’ buttoned device for transcatheter closure of patent ductus arteriosus. J Interv Cardiol. 2001;14:239–46.PubMedCrossRefGoogle Scholar
  14. 14.
    Rao PS. Summary and comparison of patent ductus arteriosus closure methods. In: Rao PS, Kern MJ, editors. Catheter based devices for the treatment of non-coronary cardiovascular disease in adults and children. Philadelphia: Lippincott Williams & Wilkins; 2003. p. 219–28.Google Scholar
  15. 15.
    Pass RH, Hijazi Z, Hsu DT, et al. Multicenter USA Amplatzer patent ductus arteriosus occlusion device trial: initial and one-year results. J Am Coll Cardiol. 2004;44:513–9.PubMedCrossRefGoogle Scholar
  16. 16.
    Bessinger Jr FB, Blieden LC, Edwards JE. Hypertensive pulmonary vascular disease associated with patent ductus arteriosus: primary or secondary? Circulation. 1975;52:157–61.PubMedCrossRefGoogle Scholar
  17. 17.
    Yamaki S, Ishidoya T, Osuga T, et al. Progressive pulmonary vascular disease after surgery in a case of patent ductus arteriosus with pulmonary hypertension. Tohoku J Exp Med. 1983;140:279–88.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London 2014

Authors and Affiliations

  1. 1.Echocardiography Lab, Department of CardiologyRajaie Cardiovascular Medical and Research Center, Iran University of Medical ScienceTehranIran
  2. 2.Echocardiography Lab, Department of CardiologyAdult Congenital Heart Disease Clinic, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical ScienceTehranIran
  3. 3.Cardiovascular Imaging Ward, Department of CardiologyAdult Congenital Heart Disease Clinic, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical ScienceTehranIran

Personalised recommendations