Regression of ductus arteriosus aneurysm in a neonate demonstrated by three-dimensional computed tomography

Lee, Wei-Jei; Chen, Shyh-Jye; Wu, Mei‐Hwan; Li, Yiu-Wah

doi:10.1016/s0167-5273(98)00345-3

Cited by 10 publications

(4 citation statements)

References 4 publications

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“…The available literature upon which to base any patient counseling is too disparate. Although one case report showed regression of DAA after postnatal indomethacin therapy31, the definitive effect on the DAA of indomethacin given postnatally is still uncertain. Surgical resection of the DAA has been suggested if any of the following conditions exist2, 32: 1) patent ductus arteriosus and ductal aneurysm persisting beyond the neonatal period; 2) the presence of associated connective tissue disorder; 3) thrombus extension into adjacent vessels; 4) evidence of thromboembolism; 5) functional compression of adjacent structures.…”

Section: Discussionmentioning

confidence: 99%

Fetal echocardiographic diagnosis of isolated ductus arteriosus aneurysm: a longitudinal study from 32 weeks of gestation to term

Tseng

Jan

2005

Ultrasound Obstet Gynecol

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Section: Discussionmentioning

confidence: 99%

Fetal echocardiographic diagnosis of isolated ductus arteriosus aneurysm: a longitudinal study from 32 weeks of gestation to term

Tseng

Jan

2005

Ultrasound Obstet Gynecol

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“…Physiologically, this condition tends to resolve itself after birth following the closure of the ductus. 25,32,33 This involution might be observed in more than 98% in early infancy. This phenomenon and the programmed closure within the initial 2 weeks after birth led Jan et al to postulate that DAA might be a normal variant of the ductal bump and part of a normal process of spontaneous ductal closure in full-term neonates.…”

Section: Physiology Of Ductal Circulationmentioning

confidence: 96%

“…In fact, most cases follow an asymptomatic course. Physiologically, this condition tends to resolve itself after birth following the closure of the ductus 25,32,33 . This involution might be observed in more than 98% in early infancy.…”

Section: Ductus Arteriosus Aneurysm (Daa)mentioning

confidence: 99%

The Fetal Ductus Arteriosus and Its Abnormalities-A Review

Weichert

Hartge

Axt-Fliedner

2010

Congenital Heart Disease

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The ductus arteriosus (DA) is a small vessel with major functional importance for the integrity of the fetal circulation. Technical advances in prenatal diagnostics facilitate appropriate echocardiographic estimation of the ductal flow and its abnormalities. Despite the emerging knowledge of its embryological background and developmental processes during advancing gestation we still have to face unresolved questions regarding the identification and optimal surveillance of fetuses at risk of premature closure of the ductus. Prenatal administration of tocolytics such as indomethacin should be monitored by close Doppler sonographic scans to follow the ductal circulation. Understanding the transcriptional regulation of normal DA development, maturation, and closure of the arterial duct as well as the hemodynamic changes during pregnancy and after delivery may provide additional targets for rational drug design to either close or open the DA, both antenatally and postnatally.

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“…Right anterior oblique (RAO) oblique sagittal section through the arch or proximal descending aorta may demonstrate ductal communication. There is no data concerning the sensitivity and specificity of MR examination in the diagnosis of PDA (22). Ductal calcification is well demonstrated on non‐contrast‐enhanced CT examination.…”

Section: Aortic Anomaliesmentioning

confidence: 99%

Magnetic resonance and computed tomographic evaluation of congenital heart disease

Boxt

2004

Magnetic Resonance Imaging

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Magnetic resonance imaging (MRI) and contrast-enhanced computed tomography (CT) provide noninvasive visualization of morphologic changes in pediatric and adult patients with congenital heart disease, as well as the functional changes caused by the underlying morphologic abnormalities. Clinical experience with MRI is richer than that with fast CT, but CT appears to provide accurate and highquality imagery for diagnosis. The two modalities may be complementary. That is, intracardiac anatomy is so well depicted by MRI, and CT provides exquisite images of the great vessels. Furthermore, in adult patients, MR and CT are helpful in demonstrating and quantitating physiologic changes superimposed by acquired cardiovascular disease on the underlying congenital malformations. Using MRI, spin echo acquisitions provide the image data for evaluation of morphologic changes, and gradient reversal techniques add functional and flow data to complement morphologic changes. Contrast-enhanced electrocardiographic (ECG)-gated multidetector and electron beam CT examination provide morphologic information and may be used as a data set for off-line functional quantitation.

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Regression of ductus arteriosus aneurysm in a neonate demonstrated by three-dimensional computed tomography

Cited by 10 publications

References 4 publications

Fetal echocardiographic diagnosis of isolated ductus arteriosus aneurysm: a longitudinal study from 32 weeks of gestation to term

Fetal echocardiographic diagnosis of isolated ductus arteriosus aneurysm: a longitudinal study from 32 weeks of gestation to term

The Fetal Ductus Arteriosus and Its Abnormalities-A Review

Magnetic resonance and computed tomographic evaluation of congenital heart disease

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