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Patent Ductus Arteriosus

Forrest AF - MedPix (2010)

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Patent Ductus Arteriosus

History: 56 y.o. man, a commercial airline pilot, presented with with acute onset of severe chest pain, radiating to the back. PMH: HTN, HLP, Type B (descending aorta) thoracic aortic dissection FamHx: noncontributory Meds: Metoprolol, Amlodipine, HCTZ, Atorvastatin, Omeprazole Allergies: NKDA

Findings: Cardiac-gated CTA images in multiple planes demonstrate a patent ductus arteriosus, shown by a small contrast-enhanced vessel connecting the descending aorta to the pulmonary artery. Patency of vessel is demonstrated by a jet of contrast spilling into the pulmonary artery at its connection with the ductus arteriosus. Of note, you can see changes in the proximal descending aortic wall indicative of this patient's stable aneurysm/dissection.

Ddx: Patent ductus arteriosus Intraarterial fistula

Dxhow: CTA imaging is diagnostic.

Exam: Vital signs: 127/85 61bpm 68” 206lb BMI 31.32 CV: RRR, normal S1/S2. No murmurs. No carotid bruit. Normal peripheral pulses. No peripheral edema. EKG: Sinus bradycardia at 57bpm, otherwise normal.

No MeSH data available.


Multiplanar reformat cardiac-gated CT aortic angiogram in the axial plane demonstrates a vessel with intra-arterial contrast projecting anteriorly from the descending aorta, distal to the takeoff of the left subclavian artery. There also appears to be a small amount of contrast within the adjacent pulmonary artery.
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MPX1716_synpic54798: Multiplanar reformat cardiac-gated CT aortic angiogram in the axial plane demonstrates a vessel with intra-arterial contrast projecting anteriorly from the descending aorta, distal to the takeoff of the left subclavian artery. There also appears to be a small amount of contrast within the adjacent pulmonary artery.


Patent Ductus Arteriosus

Forrest AF - MedPix (2010)

Multiplanar reformat cardiac-gated CT aortic angiogram in the axial plane demonstrates a vessel with intra-arterial contrast projecting anteriorly from the descending aorta, distal to the takeoff of the left subclavian artery. There also appears to be a small amount of contrast within the adjacent pulmonary artery.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1716&req=5

MPX1716_synpic54798: Multiplanar reformat cardiac-gated CT aortic angiogram in the axial plane demonstrates a vessel with intra-arterial contrast projecting anteriorly from the descending aorta, distal to the takeoff of the left subclavian artery. There also appears to be a small amount of contrast within the adjacent pulmonary artery.

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Patent Ductus Arteriosus

History: 56 y.o. man, a commercial airline pilot, presented with with acute onset of severe chest pain, radiating to the back. PMH: HTN, HLP, Type B (descending aorta) thoracic aortic dissection FamHx: noncontributory Meds: Metoprolol, Amlodipine, HCTZ, Atorvastatin, Omeprazole Allergies: NKDA

Findings: Cardiac-gated CTA images in multiple planes demonstrate a patent ductus arteriosus, shown by a small contrast-enhanced vessel connecting the descending aorta to the pulmonary artery. Patency of vessel is demonstrated by a jet of contrast spilling into the pulmonary artery at its connection with the ductus arteriosus. Of note, you can see changes in the proximal descending aortic wall indicative of this patient's stable aneurysm/dissection.

Ddx: Patent ductus arteriosus Intraarterial fistula

Dxhow: CTA imaging is diagnostic.

Exam: Vital signs: 127/85 61bpm 68” 206lb BMI 31.32 CV: RRR, normal S1/S2. No murmurs. No carotid bruit. Normal peripheral pulses. No peripheral edema. EKG: Sinus bradycardia at 57bpm, otherwise normal.

No MeSH data available.