Patent ductus arteriosus chest x ray: Difference between revisions

Jump to navigation Jump to search
m (Robot: Automated text replacement (-mgibson@perfuse.org +charlesmichaelgibson@gmail.com, -kfeeney@perfuse.org +kfeeney@elon.edu))
 
(9 intermediate revisions by 4 users not shown)
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Patent ductus arteriosus}}
{{Patent ductus arteriosus}}
{{CMG}}; '''Associate Editor-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]] [mailto:psingh@perfuse.org], {{CZ}}, '''Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@elon.edu]
{{CMG}}; '''Associate Editor-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]] [mailto:psingh13579@gmail.com], {{CZ}}, {{RG}} '''Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@elon.edu]
==Overview==
==Overview==
The findings on chest Xray depends on the degree of shunting between left and right system
The findings on [[chest x ray]] depends on the degree of [[shunting]] between left and right system.


==Chest X Ray==
==Chest X Ray==  
The findings on chest Xray depends on the degree of shunting between left and right system
===Small-Sized PDA===
*Normal heart size and [[vascularity]].<ref name="MakOng2014">{{cite journal|last1=Mak|first1=MS|last2=Ong|first2=CC|last3=Tay|first3=EL|last4=Teo|first4=LL|title=Clinics in diagnostic imaging (155)|journal=Singapore Medical Journal|volume=55|issue=09|year=2014|pages=462–467|issn=00375675|doi=10.11622/smedj.2014113}}</ref>


'''Small PDA'''
===Medium-Sized PDA===
*Normal heart size and vascularity.  
*Occasionally, the [[ductus]] can be seen as a separate convexity between the [[aortic]] knob and the [[pulmonary artery]] segments.<ref name="Davis1995">{{cite journal|last1=Davis|first1=Peter|title=Precision and Accuracy of Clinical and Radiological Signs in Premature Infants at Risk of Patent Ductus Arteriosus|journal=Archives of Pediatrics & Adolescent Medicine|volume=149|issue=10|year=1995|pages=1136|issn=1072-4710|doi=10.1001/archpedi.1995.02170230090013}}</ref>
*[[Cardiomegaly]] related to [[left atrium]] and left ventricular volume overloads.
*Increase in the [[pulmonary]] vascular markings.
*The [[ascending aorta]] may be prominent due to increased flow.


'''Medium-sized PDA''':
===Large-Sized PDA===
*Occasionally, the ductus can be seen as a separate convexity between the aortic knob and the pulmonary artery segments.
*Similar to a [[Patent ductus arteriosus|PDA]] complicated by pulmonary vascular disease.<ref name="WiyonoWitsenburg2008">{{cite journal|last1=Wiyono|first1=S. A.|last2=Witsenburg|first2=M.|last3=de Jaegere|first3=P. P. T.|last4=Roos-Hesselink|first4=J. W.|title=Patent ductus arteriosus in adults|journal=Netherlands Heart Journal|volume=16|issue=7|year=2008|pages=255–259|issn=1568-5888|doi=10.1007/BF03086157}}</ref><ref name="pmid24094805">{{cite journal| author=Adler NA, Snoey ER, Barbant SD| title=An unusual cause of congestive heart failure in a young woman. | journal=J Emerg Med | year= 2013 | volume= 45 | issue= 6 | pages= e193-6 | pmid=24094805 | doi=10.1016/j.jemermed.2013.05.027 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24094805  }}</ref>
*Cardiomegaly related to left atrium and left ventricular volume overloads.
*[[Left ventricular]] overload regresses by [[adolescence]] and the [[heart]] size may revert to normal.
*Increase in the pulmonary vascular markings.
*The [[apex]] may be tilted upward reflecting [[right ventricular hypertrophy]].
*The ascending aorta may be prominent due to increased flow.
*The [[pulmonary trunk]] and its branches are markedly dilated and may show central [[calcification]], but in the outer third there is an abrupt decrease in [[vascularity]].
 
'''Large-sized PDA''':
*Similar to a PDA complicated by pulmonary vascular disease.
*Left ventricular overload regresses by adolescence and the heart size may revert to normal.
*The apex may be tilted upward reflecting right ventricular hypertrophy.
*The pulmonary trunk and its branches are markedly dilated and may show central calcification, but in the outer third there is an abrupt decrease in vascularity.


[[File:Chest X-ray shows cardiomegaly.jpg|alt=Initial chest X-ray shows cardiomegaly. CT ratio was 0.59. Pulmonary edema in both lungs without pleural effusion can be seen (|center|thumb|745x745px|Initial chest X-ray shows [[cardiomegaly]]. CT ratio was 0.59. [[Pulmonary edema]] in both lungs without [[pleural effusion]] can be seen (A). The patient's cardiomegaly and pulmonary edema show improvement after transcatheter closures of patent ductus arteriosus. CT ratio has decreased to 0.47 and symptoms related to heart failure improved without medical treatment including [[diuretics]] (B). Case courtesy by Hye Yeon Lee, MD et al<ref>{{Cite web|url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3539052/|title=A Case of Patent Ductus Arteriosus with Congestive Heart Failure in a 80-Year-Old Man|last=|first=|date=|website=|archive-url=|archive-date=|dead-url=|access-date=}}</ref>]]
<br />
==References==
==References==
{{reflist|2}}
{{reflist|2}}

Latest revision as of 15:22, 12 March 2020

Patent Ductus Arteriosus Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Causes

Differentiating Patent Ductus Arteriosus from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography

Other Imaging Findings

Treatment

Medical Therapy

Preterm Infants
Term and Older Children

Surgery

Primary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Patent ductus arteriosus chest x ray On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Patent ductus arteriosus chest x ray

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Patent ductus arteriosus chest x ray

CDC on Patent ductus arteriosus chest x ray

Patent ductus arteriosus chest x ray in the news

Blogs on Patent ductus arteriosus chest x ray

Directions to Hospitals Treating Type page name here

Risk calculators and risk factors for Patent ductus arteriosus chest x ray

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Priyamvada Singh, M.B.B.S. [2], Cafer Zorkun, M.D., Ph.D. [3], Ramyar Ghandriz MD[4] Assistant Editor-In-Chief: Kristin Feeney, B.S. [5]

Overview

The findings on chest x ray depends on the degree of shunting between left and right system.

Chest X Ray

Small-Sized PDA

Medium-Sized PDA

Large-Sized PDA

Initial chest X-ray shows cardiomegaly. CT ratio was 0.59. Pulmonary edema in both lungs without pleural effusion can be seen (
Initial chest X-ray shows cardiomegaly. CT ratio was 0.59. Pulmonary edema in both lungs without pleural effusion can be seen (A). The patient's cardiomegaly and pulmonary edema show improvement after transcatheter closures of patent ductus arteriosus. CT ratio has decreased to 0.47 and symptoms related to heart failure improved without medical treatment including diuretics (B). Case courtesy by Hye Yeon Lee, MD et al[5]


References

  1. Mak, MS; Ong, CC; Tay, EL; Teo, LL (2014). "Clinics in diagnostic imaging (155)". Singapore Medical Journal. 55 (09): 462–467. doi:10.11622/smedj.2014113. ISSN 0037-5675.
  2. Davis, Peter (1995). "Precision and Accuracy of Clinical and Radiological Signs in Premature Infants at Risk of Patent Ductus Arteriosus". Archives of Pediatrics & Adolescent Medicine. 149 (10): 1136. doi:10.1001/archpedi.1995.02170230090013. ISSN 1072-4710.
  3. Wiyono, S. A.; Witsenburg, M.; de Jaegere, P. P. T.; Roos-Hesselink, J. W. (2008). "Patent ductus arteriosus in adults". Netherlands Heart Journal. 16 (7): 255–259. doi:10.1007/BF03086157. ISSN 1568-5888.
  4. Adler NA, Snoey ER, Barbant SD (2013). "An unusual cause of congestive heart failure in a young woman". J Emerg Med. 45 (6): e193–6. doi:10.1016/j.jemermed.2013.05.027. PMID 24094805.
  5. "A Case of Patent Ductus Arteriosus with Congestive Heart Failure in a 80-Year-Old Man".

Template:WH Template:WS