A rare complication of patent ductus arteriosus coil occlusion involving a foreign body migrating rapidly from the femoral vein to the right ventricle

2013 ◽  
Vol 21 (2) ◽  
pp. 470-472
Author(s):  
Süreyya Talay
Keyword(s):  
Foreign Body ◽  
Patent Ductus Arteriosus ◽  
Right Ventricle ◽  
Rare Complication ◽  
Femoral Vein ◽  
Ductus Arteriosus ◽  
Coil Occlusion ◽  
The Right ◽  
Patent Ductus

scholarly journals TETRALOGI FALLOT DAN ATRESIA PULMONAL

2013 ◽  
Vol 4 (3) ◽  
Author(s):  
Alice I. Supit ◽  
Erling D. Kaunang
Keyword(s):  
Patent Ductus Arteriosus ◽  
Right Ventricle ◽  
Tetralogy Of Fallot ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Ductus Arteriosus ◽  
Ventricle Hypertrophy ◽  
The Right ◽  
Right Ventricle Hypertrophy ◽  
Patent Ductus

Abstract: Congenital heart disease is a structural defect due to the malformation of the heart, aorta, and or great blood vessels. It is the most frequent congenital malformation in newborn babies. Tetralogy of Fallot is one of the congenital heart diseases (CHD) with central cyanosis, and covers 5-10% of all CHD. We reported a boy of one year old with Tetralogy of Fallot and pulmonal atresia (ToF-PA), associated with bronchopneumonia. The diagnosis was based on anamnesis, physical examination, and other supporting examinations. The chest X-ray showed a normal sized heart (CTR 57%) with coer-en-sabot shape, and right and left parahilar infiltration, which resulted in bronchopneumonia and ToF. The electrocardiography showed a right deviation of axis and a hypertrophy of the right ventricle; the echocardiography showed a right ventricle hypertrophy, an over-riding aorta, a large malalignment of the ventricular septal defect, no visualization of pulmonar artery, and no visualization of patent ductus arteriosus (PDA). Conclusion: Based on all the tests performed, the diagnosis of this patient was Tetralogy of Fallot and pulmonal atresia (ToF-PA), associated with bronchopneumonia. The prognosis related to bronchopneumonia in this case was good due to the use of antibiotics. Keywords: tetralogy of Fallot, pulmona atresia, bronchopneumonia.  Abstrak: Penyakit jantung bawaan (PJB) ialah kelainan struktural akibat malformasi jantung, aorta dan atau pembuluh darah besar, dan merupakan kelainan kongenital tersering pada bayi baru lahir. Tetralogi Fallot merupakan salah satu PJB dengan sianosis sentral, dan mencakup 5-10% dari seluruh PJB. Kami melaporkan kasus seorang anak laki-laki berusia satu tahun dengan Tetralogi Fallot dan atresia pulmonal (ToF-PA) disertai bronkopneumonia. Diagnosis ditegakkan melalui anamnesis, pemeriksaan fisik, dan pemeriksaan penunjang. Hasil ekspertisi foto toraks AP memperlihatkan ukuran jantung normal (CTR 57%) berbentuk coer-en-sabot, dan pada paru-paru terlihat infiltrat parahilar kanan dan kiri serta corakan vaskular paru berkurang yang menunjukkan suspek bronkopneumonia dan ToF. Elektrokardiografi memperlihatkan deviasi aksis ke kanan dan hipertrofi ventrikel kanan, dan pada ekokardiografi tampak right ventricle hypertrophy, overriding aorta, VSD malalignment besar, tidak tampak visualisasi arteri pulmonal, dan tidak tampak patent ductus arteriosus (PDA) dengan hasil Tetralogi Fallot dan atresia pulmonal. Simpulan: Berdasarkan hasil pemeriksaan yang dilakukan, diagnosis pasien ini ialah Tetralogi Fallot dan atresia pulmonal (ToF-PA) disertai bronkopneumonia. Prognosis bronkopenumonia pada kasus ini baik yang dapat diatasi dengan antibiotika.Kata kunci: tetralogi Fallot, atresia pulmonal, bronkopneumonia.  

CONGENITAL CORONARY ARTERIOVENOUS FISTULA

PEDIATRICS ◽  
1960 ◽  
Vol 25 (3) ◽  
pp. 531-S-560
Author(s):  
Benjamin M. Gasul ◽  
Rene A. Arcilla ◽  
Egbert H. Fell ◽  
Joshua Lynfield ◽  
J. Pedro Bicoff ◽  
...  
Keyword(s):  
Patent Ductus Arteriosus ◽  
Right Ventricle ◽  
Arteriovenous Fistula ◽  
Septal Defect ◽  
Ductus Arteriosus ◽  
Arterial System ◽  
Functional Disturbance ◽  
Coronary Arteriovenous Fistula ◽  
The Right ◽  
Patent Ductus

Five patients with congenital coronary arteriovenous fistula communicating with the right ventricle are presented. Case 5, a 3-week-old infant, represents the youngest patient to be diagnosed and studied, in the literature. The clinical features, hemodynamics and angiocardiographic findings are analyzed. Two major types of fistula affecting the coronary arterial system are recognized. In coronary arteriovenous fistula the functional disturbance consists of a left-to-right shunt, and a diastolic overloading of the left heart chambers and of the right heart chambers into which the fistula opens. In coronary arterio-systemic fistula the altered hemodynamics are essentially those of an internal fistula confined to the systemic circulation. A postulate regarding the nature of the blood flow through the various types of fistulae is given, and this is correlated with the phonocardiographic and hemodynamic findings. The diagnosis should be strongly suspected on the basis of a loud, superficial and continuous cardiac murmur localized in an area atypical for a patent ductus arteriosus. If the continuous murmur is maximal at the pulmonary area, it is extremely difficult to differentiate this anomaly from a patent ductus arteriosus and/or aortic-pulmonary septal defect. Phonocardiographic demonstration of a louder diastolic than systolic component is very suggestive of a coronary arteriovenous fistula communicating with the right ventricle. The roentgenologic and electrocardiographic findings are not specific. Cardiac catheterization is not diagnostic, although when correlated with the clinical picture it may strongly suggest the diagnosis. Angiocardiography, particularly retrograde aortography, is diagnostic. The information obtained from the various methods used is discussed. Dilatation of the ascending aorta demonstrated by angiocardiography was a constant finding in our series. Its pathogenesis is discussed, and its importance as a differential sign in the angiocardiogram against the diagnosis of ventricular septal defect is stressed. The differential diagnosis by retrograde aortography between coronary arteriovenous fistula into the right ventricle and ruptured aortic sinus of Valsalva into the same chamber is discussed and illustrated. While this anomaly is compatible with longevity, the potential complications to which the patient with it may be subjected and the relative innocuousness of corrective surgery without the need for hypothermia or cardiopulmonary bypass, demonstrated in previous reports and in our series, make us believe that surgery should be considered in practically all cases of fistula of the coronary arterial system.

ANOMALOUS CHANNEL BETWEEN AORTA AND RIGHT VENTRICLE

PEDIATRICS ◽  
1949 ◽  
Vol 3 (5) ◽  
pp. 597-602
Author(s):  
RICHARD C. BROWN ◽  
JOHN D. BURNETT
Keyword(s):  
Patent Ductus Arteriosus ◽  
Right Ventricle ◽  
Cardiac Catheterization ◽  
Ductus Arteriosus ◽  
Sinus Of Valsalva ◽  
Aortic Sinus ◽  
Left Posterior ◽  
The Right ◽  
Cardiovascular Anomalies ◽  
Patent Ductus

The occurrence of a congenital vascular tract between the left posterior aortic sinus of Valsalva and the right ventricle in a 13 month old boy is reported. A group of cardiovascular anomalies which clinically resemble a patent ductus arteriosus is discussed, and the help which cardiac catheterization may give in confirming the diagnosis is indicated.

scholarly journals REVERSE PDA – LESS COMMON TYPE OF PATENT DUCTUS ARTERIOSUS -CASE REPORT

2016 ◽  
Vol 73 (2) ◽  
pp. 351 ◽  
Author(s):  
Iuliu Scurtu ◽  
Cosmin Pestean ◽  
Radu Lacatus ◽  
Meda Lascu ◽  
Mircea Mircean ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Pulmonary Artery ◽  
Patent Ductus Arteriosus ◽  
Right Ventricle ◽  
Congenital Heart ◽  
Ductus Arteriosus ◽  
Positive Diagnosis ◽  
The Right ◽  
Patent Ductus

Introduction: PDA represents one of the most frequently diagnosed type of congenital heart disease. Ductus arteriosus is a normal structure in foetal life, which permits shunting of oxygenated blood from the pulmonary artery into the aorta. Failure of sealing after birth is an abnormal condition and is called patent ductus arteriosus. In normal PDA, due to fact that systemic pressure is fivefold higher than pulmonary circulation, blood is shunted from the aorta into the pulmonary artery. In reverse PDA, pulmonary artery pressure does not drop after birth, and blood will be shunted form right to left. Aims: We want to evaluate clinical, haematological, ECG and echocardiographic changes in case of reverse PDA. Materials and Methods: Two-year old female Bichon Frise was referred to our clinic with signs of effort intolerance and dyspnoea for more than a year. ECG was performed in the right lateral recumbency using a digital device and echocardiography was done with Esaote MyLab40 Vet with a phased array transducer matched with the size of the dog (7.5 MHz). Results: We identified a dog with a good body score, quite alert and without any sign of illness. Haematological investigation underlined polycythaemia and very high PCV. The ECG revealed a normal sinus rhythm with a deep S wave, changes consistent with right ventricle enlargement.  Right atrial dilation and right ventricle hypertrophy were found on cardiac ultrasonography. The right ventricle free wall was hypertrophied and interventricular septum was flattened, changes consistent with increased pressure on the right side of the heart. The left heart was small. Positive diagnosis was done, performing “bubble study” and identification of contrast bubble within the abdominal aorta.   Conclusion: Reverse PDA is a rarely diagnosed congenital heart disease. Polycythaemia in young dogs could raise the suspicion of reverse PDA.  For positive diagnosis, echocardiography and bubble study are required. ECG is not a sensitive tool for diagnosis.

PATENT DUCTUS ARTERIOSUS WITH REVERSAL OF FLOW

PEDIATRICS ◽  
1956 ◽  
Vol 18 (3) ◽  
pp. 410-423
Author(s):  
Ray C. Anderson ◽  
Paul Adams ◽  
Richard L. Varco
Keyword(s):  
Patent Ductus Arteriosus ◽  
Ductus Arteriosus ◽  
Diagnostic Value ◽  
Successful Outcome ◽  
Exertional Dyspnea ◽  
Artery Segment ◽  
Pulmonary Arterial ◽  
The Right ◽  
Patent Ductus

Ten cases are presented of children having patent ductus arteriosus with reversal of shunt. Cyanosis, often greater in the toes, was present in all. Exertional dyspnea developed early. Murmurs were of no diagnostic value, but an accentuated pulmonic second sound was uniformly present. Right ventricular preponderance was found in all cases on the electrocardiogram. Cardiac size varied on roentgenography, but there was usually prominence of the pulmonary artery segment. Six cases showed evidence of bi-directional shunts, one showed only a reversed shunt, while data were insufficient to determine this point in the remaining three. Three patients had surgery, one with a successful outcome. The latter was a 1-year-old infant in whom lung biopsy at surgery revealed only minimal pulmonary arterial changes. Forty-five cases are reviewed from the literature. The majority of these occurred in adults. Twenty-two have been subjected to surgery, four with good results, three of the latter being children. The differential diagnosis is briefly discussed. The safest and simplest diagnostic test to perform is the determination of oxygen saturation of samples of blood obtained simultaneously from the right brachial and femoral arteries. Angiocardiography and cardiac catheterization also provided helpful information. The diagnosis will not be made unless the examiner keeps the entity in mind. The entity can no longer be considered rare. Surgical treatment of the condition has been very disappointing, especially in the adult. There is reason to believe that surgical intervention very early in life will yield a higher salvage rate.

PROBLEM OF DIFFERENTIAL DIAGNOSIS IN INFANTS WITH LARGE HEARTS AND INCREASED BLOOD FLOW TO THE LUNGS

PEDIATRICS ◽  
1954 ◽  
Vol 13 (1) ◽  
pp. 30-40
Author(s):  
CHARLOTTE FERENCZ ◽  
ARNOLD L. JOHNSON ◽  
ALTON GOLDBLOOM
Keyword(s):  
Blood Flow ◽  
Differential Diagnosis ◽  
Patent Ductus Arteriosus ◽  
Ductus Arteriosus ◽  
Pulmonary Veins ◽  
Heart Catheterization ◽  
Radiologic Findings ◽  
The Right ◽  
Increased Blood Flow ◽  
Patent Ductus

This paper deals with the differential diagnosis of the cardiac lesion in infants who have enlargement of the heart associated with increased blood flow to the lungs, and in whom cyanosis is not a prominent feature. Some patients in this group have a patent ductus arteriosus in the absence of a typical continuous murmur, and these infants may urgently require the benefits of surgical therapy. Since the diagnosis can be established by aortography or heart catheterization, some criteria are required for the better selection of infants from this group in whom these investigations should be performed. Twenty-five infants form the subject of this study. In 19 the diagnosis was confirmed at autopsy. Eight patients had a patent ductus, either as an isolated lesion or in association with other defects; 10 had ventricular septal defects with or without overriding of the aorta; 5 had anomalous pulmonary vein drainage; one had an ostium atrioventricular communis and in one there was a functional single ventricle. Clinical, electrocardiographic and radiologic findings were analyzed. Important features which appear to favour the diagnosis of patent ductus arteriosus are full or collapsing pulses and a normal ECG or one showing evidence of combined ventricular hypertrophy. Suggestive, but of lesser importance, is the finding of an apical diastolic rumble and enlargement of the left atrium. All these findings may, however, be present in patients with other malformations, especially defects involving the ventricular septum. Evidence of marked hypertrophy of the right atrium and right ventricle by electrocardiography and fluoroscopy renders the presence of patent ductus unlikely and is consistent with the diagnosis of anomalous drainage of pulmonary veins.

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