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:psingh13579@gmail.com], {{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 x ray]] 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. | ||
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==Chest X Ray== | ==Chest X Ray== | ||
===Small-Sized PDA=== | ===Small-Sized PDA=== | ||
*Normal heart size and [[vascularity]]. | *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=== | ===Medium-Sized PDA=== | ||
*Occasionally, the ductus can be seen as a separate convexity between the aortic knob and the [[pulmonary artery]] segments. | *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. | *[[Cardiomegaly]] related to [[left atrium]] and left ventricular volume overloads. | ||
*Increase in the pulmonary vascular markings. | *Increase in the pulmonary vascular markings. | ||
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===Large-Sized PDA=== | ===Large-Sized PDA=== | ||
*Similar to a PDA complicated by pulmonary vascular disease. | *Similar to a 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> | ||
*Left ventricular overload regresses by [[adolescence]] and the [[heart]] size may revert to normal. | *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 apex may be tilted upward reflecting [[right ventricular hypertrophy]]. |
Revision as of 01:52, 24 February 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]
- 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.