The Various Hemodynamic Profiles of the Patent Ductus Arteriosus in Adults

被引：12

作者：

Fadel, Bahaa M. ^{[1
]}

Mohty, Dania ^{[2
]}

Husain, Aysha ^{[1
]}

Dahdouh, Ziad ^{[1
]}

Al-Admawi, Mohammad ^{[1
]}

Pergola, Valeria ^{[1
]}

Di Salvo, Giovanni ^{[1
]}

机构：

[1] King Faisal Specialist Hosp & Res Ctr, Riyadh 11211, Saudi Arabia

[2] CHU Limoges, Limoges, France

来源：

ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES | 2015年 / 32卷 / 07期

关键词：

congenital heart disease; Doppler echocardiography; pulmonary hypertension; PULMONARY-HYPERTENSION; DISEASE; HEART;

D O I：

10.1111/echo.12943

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The patent ductus arteriosus (PDA) has diverse clinical and hemodynamic manifestations depending on its size and the degree of the ensuing left-to-right shunt. A small PDA that causes minor shunting has no major hemodynamic consequences. Conversely, a large PDA with a significant left-to-right shunt may lead to various hemodynamic abnormalities. These include left-sided volume overload that may result in heart failure and/or pulmonary hypertension, the latter being a flow-dependent and mostly reversible phenomenon. The most feared complication is the development of severe and irreversible pulmonary hypertension (Eisenmenger physiology). In this manuscript, we provide examples of the various hemodynamic profiles of PDA as assessed by echocardiography in the adult population.

引用

页码：1172 / 1178

页数：7

共 10 条

[1] ENDARTERITIS ASSOCIATED WITH A CLINICALLY SILENT PATENT DUCTUS-ARTERIOSUS [J].

BALZER, DT ;

SPRAY, TL ;

MCMULLIN, D ;

COTTINGHAM, W ;

CANTER, CE .

AMERICAN HEART JOURNAL, 1993, 125 (04) :1192-1193

[2] HYPERTENSIVE PULMONARY VASCULAR-DISEASE ASSOCIATED WITH PATENT DUCTUS-ARTERIOSUS PRIMARY OR SECONDARY [J].

BESSINGER, FB ;

BLIEDEN, LC ;

EDWARDS, JE .

CIRCULATION, 1975, 52 (01) :157-161

[3]

ESPINOVELA J, 1968, CIRCULATION, V38, pV45

[4] Pulse-Wave Doppler Interrogation of the Abdominal Aorta: A Window to the Left Heart and Vasculature [J].

Fadel, Bahaa M. ;

Bakarman, Hatem ;

Al-Admawi, Mohamad ;

Bech-Hanssen, Odd ;

Di Salvo, Giovanni .

ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES, 2014, 31 (04) :543-547

[5]

LLOYD TR, 1994, AM HEART J, V127, P1664, DOI 10.1016/0002-8703(94)90415-4

[6] CONGENITAL HEART DISEASE IN 56,109 BIRTHS - INCIDENCE AND NATURAL HISTORY [J].

MITCHELL, SC ;

KORONES, SB ;

BERENDES, HW .

CIRCULATION, 1971, 43 (03) :323-&

[7] VALIDATION OF DOPPLER-DERIVED PULMONARY ARTERIAL-PRESSURE IN PATIENTS WITH DUCTUS-ARTERIOSUS UNDER DIFFERENT HEMODYNAMIC STATES [J].

MUSEWE, NN ;

SMALLHORN, JF ;

BENSON, LN ;

BURROWS, PE ;

FREEDOM, RM .

CIRCULATION, 1987, 76 (05) :1081-1091

[8] Patent ductus arteriosus [J].

Schneider, Douglas J. ;

Moore, John W. .

CIRCULATION, 2006, 114 (17) :1873-1882

[9] NON-INVASIVE DETECTION OF PULMONARY-HYPERTENSION IN PATENT DUCTUS-ARTERIOSUS BY PULSED DOPPLER ECHOCARDIOGRAPHY [J].

STEVENSON, JG ;

KAWABORI, I ;

GUNTHEROTH, WG .

CIRCULATION, 1979, 60 (02) :355-359

[10]

Weyman AE, 1994, PRINCIPLES PRACTICE, V2nd, P863

← 1 →