Ductus Arteriosus Aneurysm Research Articles

A spontaneous ductal aneurysm presenting with left recurrent laryngeal nerve palsy

A 76-year-old man was found to have a left recurrent laryngeal nerve palsy, due to a spontaneous patent ductus arteriosus aneurysm. Ortner’s syndrome (left recurrent laryngeal nerve palsy caused by cardiovascular pathology) secondary to patent ductus arteriosus aneurysm has not previously been described in the literature. We present a case, illustrated with surface rendering computer tomogram reconstructions.

Isolated ductus arteriosus aneurysm in the fetus and infant: a multi-institutional experience

OBJECTIVESThe purpose of this study was to describe the clinical characteristics and outcome and to elucidate the pathogenesis of ductus arteriosus aneurysm (DAA).BACKGROUNDDuctus arteriosus aneurysm is a rare lesion that can be associated with severe complications including thromboembolism, rupture and death.METHODWe reviewed the clinical records, diagnostic imaging studies and available histology of 24 cases of DAA, diagnosed postnatally (PD) in 15 and antenatally (AD) in 9 encountered in five institutions.RESULTSOf PD cases, 13 presented at <2 months, and all AD cases were detected incidentally after 33 weeks of gestation during a late trimester fetal ultrasound study. Of the 24, only 4 had DAA-related symptoms and 6 had associated syndromes: Marfan, Smith-Lemli-Opitz, trisomies 21 and 13 and one possible Ehlers-Danlos. Three had complications related to the DAA: thrombus extension into the pulmonary artery, spontaneous rupture, and asymptomatic cerebral infarction. Six underwent uncomplicated DAA resection for ductal patency, DAA size or extension of thrombus. In the four examined, there was histologic evidence of reduced intimal cushions in two and abnormal elastin expression in two. Five of the 24 died, with only one death due to DAA. Of 19 survivors, all but one remain clinically asymptomatic at a median follow-up of 35 months; however, two have developed other cardiac lesions that suggest Marfan syndrome. A review of 200 consecutive third trimester fetal ultrasounds suggests an incidence of DAA of 1.5%.CONCLUSIONSDuctus arteriosus aneurysm likely develops in the third trimester perhaps due to abnormal intimal cushion formation or elastin expression. Although it can be associated with syndromes and severe complications, many affected infants have a benign course. Given the potential for development of other cardiac lesions associated with connective tissue disease, follow-up is warranted.

Aneurysm of the patent ductus arteriosus after coil closure: A rare complication

Catheterization and Cardiovascular InterventionsVolume 50, Issue 2 p. 190-190 Editorial Comment Aneurysm of the patent ductus arteriosus after coil closure: A rare complication Ziyad M. Hijazi MD, Ziyad M. Hijazi MD Section of Pediatric Cardiology,Department of Pediatrics,University of Chicago Children's Hospital,Pritzker School of Medicine,Chicago, IllinoisSearch for more papers by this author Ziyad M. Hijazi MD, Ziyad M. Hijazi MD Section of Pediatric Cardiology,Department of Pediatrics,University of Chicago Children's Hospital,Pritzker School of Medicine,Chicago, IllinoisSearch for more papers by this author First published: 24 May 2000 https://doi.org/10.1002/(SICI)1522-726X(200006)50:2<190::AID-CCD9>3.0.CO;2-RCitations: 1AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article.Citing Literature Volume50, Issue2June 2000Pages 190-190 SCAI Member Sign in RelatedInformation

Successful resection of ductus arteriosus aneurysm in infancy

We report a case of thrombosed patent ductus arteriosus aneurysm in an infant. The aneurysm was detected accidentally on chest roentgenogram and presented as globular soft tissue density mass in left posterosuperior mediastinum. Resection of the aneurysm was performed without cardiopulmonary bypass. Two years after operation the patient is well and growing normally.

Regression of ductus arteriosus aneurysm in a neonate demonstrated by three-dimensional computed tomography

We present a case of ductus arteriosus aneurysm in a neonate in whom the diagnosis was made by echocardiography, three-dimensional surface rendering computed tomography (CT) and was subsequently confirmed by angiography. Regression of aneurysm after indomethacin treatment was clearly demonstrated in a follow-up CT scan. To our knowledge, this is the first report of ductus arteriosus aneurysm and its regression detected by 3D surface rendering CT.

A Case of Neonatal Ductus Arteriosus Aneurysm

A case of successfully operated neonatal ductus arteriosus aneurysm is described. Cardiac catheterization was performed to confirm the diagnosis because of a misinterpretation of the anatomy on transthoracic echocardiography. Rupture, embolism and infection are described complications of such aneurysms. Surgery should therefore be recommended without delay.

Ductus arteriosus aneurysm in the adult: Role of computed tomography in diagnosis

Aneurysm of the ductus arteriosus has been reported in children more frequently than in adults [1-4]. The rarity of the lesion explains the low rate of recognition by the radiologist, especially because symptoms are non-specific in most cases. Clinically and radiologically, aneurysm of the ductal diverticulum can be confused with other mass lesions in the aorticopulmonary window. We report CT features of two ductal aneurysm in the adult with atypical presentation.

Prenatal ultrasonographic diagnosis of ductus arteriosus aneurysm with spontaneous neonatal closure

Aneurysm of the ductus arteriosus may be either spontaneous or acquired as a complication of surgical closure of a patent duct. Patients may be asymptomatic or present with a wide spectrum of symptoms, including hoarseness, respiratory symptoms, aortic or pulmonary thrombosis or embolism, or rupture of the aneurysm. We present the first report of prenatal ultrasonographic diagnosis of isolated ductus arteriosus aneurysm. The aneurysm presented at 39 weeks as an enlarged, dilated, vascular structure 15 mm in diameter, which began at the bifurcation of the main pulmonary artery and ended in the descending aorta. Doppler imaging demonstrated turbulent flow in this lesion. Following spontaneous delivery, a bidirectional shunt in the ductus arteriosus was found on the 1st day, but the caliber of the vessel was normal. An almost completely functionally closed ductus was found on the 2nd day. Spontaneous resolution of the lesion was confirmed by magnetic resonance imaging at 4 weeks of age.

Adult Case of Ductus arteriosus Aneurysm Complicated with Left Pulmonary Artery Obstruction

An adult case (an 81-year-old man) of an aneurysm of a nonpatent ductus arteriosus complicated with left pulmonary artery obstruction is reported. The usefulness of transesophageal echocardiography as a diagnostic means is emphasized.

Aneurysm of a nonpatent ductus arteriosus in a neonate: CT findings.

Aneurysm of a nonpatent ductus arteriosus in a neonate: CT findings.

Four Unusual Cases of Sudden and Unexpected Cardiovascular Death in Infancy and Childhood

Four unusual cases of sudden and unexpected cardiovascular death in infancy and early childhood that were found during a ten-year autopsy review at our institutions are presented. In Case 1, an asymptomatic 2-year-old male, sudden death resulted from an acute myocardial infarct due to occlusion of coronary arteries that had been previously damaged by unsuspected arteritis. Case 2, a previously well 7-month-old male, died from an acute myocardial infarct due to an unsuspected anomalous origin of the coronary arteries from a single, stenotic coronary ostium. Case 3, a previously well 21-month-old black male, died from a splenic sequestration crisis due to undiagnosed sickle cell disease. Case 4, a 2-month-old female with suspected Marfan syndrome, died from a ruptured dissecting aneurysm of a patent ductus arteriosus. Accuracy of diagnosis was of particular importance in the latter two cases because of the possible genetic implications.

Ebstein's Anomaly with Non-Patent Ductus Arteriosus Aneurysm and Bradycardiac Atrial Fibrillation in an 80-year-old Man.

An 80-year-old man with Ebstein's anomaly and ductus arteriosus aneurysm is reported. He was admitted with bradycardiac atrial fibrillation and right ventricular failure. For the control of brady-arrhythmia, a permanent pacemaker was implanted. Two-dimensional echocardiogram revealed distal displacement of the septal tricuspid valve. Aortography and computed tomography showed ductus arteriosus aneurysm. This is the first report of the association of Ebstein's anomaly and non-patent ductus arteriosus aneurysm.

An unusual case of vascular ring: The right aortic arch with mirror‐image branching and aneurysm of the left ductus arteriosus

An unusual case of vascular ring: The right aortic arch with mirror‐image branching and aneurysm of the left ductus arteriosus

Computed Tomography in the Diagnosis and Treatment of Mediastinal Abnormalities in Children

Thirty-one children with mediastinal abnormalities--14 malignant lymphomas, 4 other primary malignancies, one metastatic and 12 benign lesions--were examined one or several times using CT, which proved to be effective especially for cysts (5 patients), ductus arteriosus aneurysm (2 patients), and intrathoracic liver (one patient). It also supplied important diagnostic information regarding the extent of disease in malignant thymoma (one patient), in neurinoma (one patient), and in Hodgkin's lymphoma (5 patients). It was found to be useful in the monitoring of treatment of patients with lymphomas, in which a small residue, probably a fibrotic remnant, was invariably seen after completion of chemotherapy and irradiation. It was concluded that when the residue was enlarged, the possibility of relapse and even thymic hyperplasia should be considered. However, if CT was performed under general anaesthesia pseudo-widening of the anterior mediastinum could simulate recurrence. Surgical biopsy was found to be necessary in these cases because fine-needle aspiration biopsy was unsuccessful.

Spontaneous Aneurysm of a Patent Ductus Arteriosus in an Elderly Patient

Spontaneous aneurysm of a patent ductus arteriosus has rarely been reported in an adult. Successful operation on such an aneurysm is reported.

Ductus arteriosus aneurysm presenting as pulmonary artery obstruction: Diagnosis and management

The occurrence of pulmonary artery obstruction in an 8 day old infant as a complication of an aneurysm of a nonpatent ductus arteriosus is reported, together with the echocardiographic and angiographic findings. To relieve the obstruction, the aneurysm and an intrapulmonary thrombus were successfully removed with the use of cardiopulmonary bypass when the infant was 3 months old.

Aortic thrombosis in the neonate

The case histories of two infants with aortic thrombosis are presented. Clinically, an obstructive aortic arch lesion was suspected because of a systolic pressure gradient between the upper and lower extremities in one infant and unequal peripheral pulses with lower limb cyanosis in the other. Noninvasive studies were inconclusive, the only abnormality noted echocardiographically being severe left ventricular dysfunction. Cardiac catheterization including angiography defined the severity of the obstruction and location of the thrombus in both babies. The thrombus originated within a ductus arteriosus aneurysm in one infant and was located in the ascending aorta and transverse arch in the other. Although successful surgical removal was accomplished, both babies died unexpectedly in the early postoperative period.

Ruptured Ductus Arteriosus Aneurysm in an Infant: Report of a Survivor

The diagnosis of a large ductus arteriosus aneurysm was made in a 3½-month-old infant by cardiac catheterization following massive hemoptysis. Prompt surgical correction accounted for the patient's survival. Differential diagnosis of an intrathoracic mass should include a ductus arteriosus aneurysm even in the newborn period.

Aneurysm of ductus arteriosus in infancy: Report of two surgically treated cases

Spontaneous aneurysm of ductus arteriosus is a rare but potentially fatal condition occurring mainly during neonatal period. Of reported infant aneurysms, 17% have been fatal complications, but usually the aneurysm has been diagnosed as an incidental finding at autopsy. All reports of infants with ductal aneurysm have been done postmortem. In the present report the ductal aneurysms of the two newborn infants aged 4 and 1 wk were the first ones successfully operated upon during the neonatal period. Pathogenesis of the lesion, possibility of preoperative recognition, operative findings, and methods of surgical treatment are discussed.

Aneurysm of a Nonpatent Ductus Arteriosus. An Unusual Cause of Mediastinal Mass

A case of aneurysm of a nonpatent ductus arteriosus is reported. The importance of its recognition is emphasized in the differential diagnosis of any superior mediastinal mass which is being considered for exploratory thoracotomy. The patient also had a large ventricular aneurysm which was diagnosed 12 years after his myocardial infarction. Neither aneurysm was symptomatic. This case is not only the first one of aneurysm of a nonpatent ductus arteriosus to be diagnosed during life, (although the fifth in the literature), but also the only one in which coexistence of aneurysm of ductus arteriosus and ventricular aneurysm has been reported.