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Lee, Ahn, Kim, Kwon, Bae, and Noh: Idiopathic Constriction of the Fetal Ductus Arteriosus with Right Ventricular Failure; Rapid Resolution after Birth
Original Article

Korean J Perinatol 2014;25(4):297-301.

Published online: 21 December 2014

DOI: https://doi.org/10.14734/kjp.2014.25.4.297

Idiopathic Constriction of the Fetal Ductus Arteriosus with Right Ventricular Failure; Rapid Resolution after Birth

Doo Ri Lee, M.D., Kyung Jin Ahn, M.D., Gi Beom Kim, M.D., Bo Sang Kwon, M.D., Eun Jung Bae, M.D., Chung Il Noh, M.D.

Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea

Correspondence: Gi Beom Kim, M.D., Ph.D. Department of Pediatrics, Seoul National University Children’s Hospital, 101 Daehak-ro, Jongno-gu, Seoul 110-744, South Korea Tel : +82-2-2072-0266, Fax : +82-2-743-3455 E-mail : ped9526@snu.ac.kr

Received 25 July 20141 October 2014       Accepted 6 October 2014

Copyright © 2014 Korean Society of Perinatology

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Premature constriction of the ductus arteriosus is rare, but it can occur during fetal life idiopathically or secondary to medications or structural lesions. Premature constriction of the ductus arteriosus can lead to progressive right heart dysfunction, heart failure, subsequent hydrops fetalis, and even fetal death. Herein, we describe a case of fetal ductus arteriosus constriction of unknown etiology with a severely enlarged and hypertrophied right ventricle, which resolved dramatically soon after birth.

Keywords: Ductus arteriosus, Prenatal diagnosis, Constriction, Pathologic

REFERENCES

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Fig. 1.
Fetal echocardiogram at gestational age of 37 weeks and 2 days. A: The 2 dimensional image shows a severely enlarged and hypertrophied right ventricle on 4 chamber view. B: Color Doppler reveals prematurely constricted ductus arteriosus with a narrowest diameter of 1.3 mm and length of 6 mm (arrow). RV: right ventricle, LV: left ventricle, PA: pulmonary artery, Ao: aorta.
kjp-25-297-f1.tif
Fig. 2.
Chest posterior-anterior (PA) radiograph. A: Chest PA radiograph at birth shows severe cardiomegaly with a cardiothoracic (CT) ratio of 66.2%. B: Chest PA radiograph at 2 weeks after birth shows that the heart shadow has regressed to normal with a CT ratio of 46.7%.
kjp-25-297-f2.tif
Fig. 2.
Chest posterior-anterior (PA) radiograph. A: Chest PA radiograph at birth shows severe cardiomegaly with a cardiothoracic (CT) ratio of 66.2%. B: Chest PA radiograph at 2 weeks after birth shows that the heart shadow has regressed to normal with a CT ratio of 46.7%.
kjp-25-297-f3.tif
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