Premature closure of the arterial duct presenting with right heart failure of the fetus and ductal aneurysm postnatally.

Autor:	Michelitsch M; Division of Pediatric Cardiology, Department of Pediatrics and Adolescent Medicine, Pediatric Heart Center, Medical University of Vienna, Vienna, Austria., Wiedemann D; Department of Cardiac Surgery, Pediatric Heart Center, Medical University of Vienna, Vienna, Austria., Schermer E; Department of Child and Adolescent Health, Pediatrics III (Pediatric Cardiology, Pulmonology, Allergology and Cystic Fibrosis), Medical University of Innsbruck, Innsbruck, TIR, Austria., Zimpfer D; Department of Cardiac Surgery, Pediatric Heart Center, Medical University of Vienna, Vienna, Austria., Michel-Behnke I; Division of Pediatric Cardiology, Department of Pediatrics and Adolescent Medicine, Pediatric Heart Center, Medical University of Vienna, Vienna, Austria.
Jazyk:	angličtina
Zdroj:	Cardiology in the young [Cardiol Young] 2023 Dec; Vol. 33 (12), pp. 2690-2692. Date of Electronic Publication: 2023 Oct 31.
DOI:	10.1017/S1047951123003359
Abstrakt:	In utero idiopathic constriction of the arterial duct is a rare condition with only a handful reported cases. Ductal aneurysms with thrombus formations on the other hand are significantly more common. We report a case of a term infant who presented with right heart failure due to premature ductal closure and postnatal severe respiratory distress. Subsequent diagnostics revealed paresis of left laryngeal nerve and obstruction of the left pulmonary artery secondary to a ductal aneurysm. Consequently, surgical intervention was considered necessary. Post-operatively, right ventricular function and hoarseness resolved slowly.
Databáze:	MEDLINE
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