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

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

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.

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