Patent ductus arteriosus chest x ray: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Patent ductus arteriosus}} | {{Patent ductus arteriosus}} | ||
{{CMG}}; '''Associate Editor-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]] [mailto: | {{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 | The findings on [[chest x ray]] depends on the degree of [[shunting]] between left and right system. | ||
==Chest X Ray== | ==Chest X Ray== | ||
===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> | |||
===Medium-Sized PDA=== | |||
* | *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. | |||
===Large-Sized PDA=== | |||
*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> | |||
*[[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]]. | |||
*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
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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
- Normal heart size and vascularity.[1]
Medium-Sized PDA
- Occasionally, the ductus can be seen as a separate convexity between the aortic knob and the pulmonary artery segments.[2]
- 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.
Large-Sized PDA
- Similar to a PDA complicated by pulmonary vascular disease.[3][4]
- 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.
References
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ "A Case of Patent Ductus Arteriosus with Congestive Heart Failure in a 80-Year-Old Man".