Schmidt M, Theissen P, Deutsch H J, Erdmann E, Schicha H
Klinik und Poliklinik für Nuklearmedizin der Universität zu Köln, Cologne, Germany. matthias.
Int J Cardiol. 1999 Feb 28;68(2):225-9. doi: 10.1016/s0167-5273(98)00373-8.
Ductus arteriosus Botalli apertus is a congenital cardiovascular malformation usually diagnosed in childhood by echocardiography and/or cardiac catheterization. Reports about magnetic resonance imaging of ductus arteriosus Botalli apertus are rare. We report about three adult female patients and one adult male patient in whom magnetic resonance imaging was able to demonstrate the pathology. In all four patients quantitative data about right ventricular function were calculated. Pulmonary hypertension with Eisenmenger syndrome detected by cardiac catheterization had developed in three of the four patients excluding operative closure of the ductus. The patient in whom pulmonary hypertension had not developed underwent successful operative closure of the ductus. Magnetic resonance imaging is a non-invasive tool that can be used for diagnosis of ductus arteriosus Botalli apertus and it allows to quantify right ventricular function. Magnetic resonance imaging can be used repetitively in patients with Eisenmenger syndrome which may be helpful for better timing of combined heart-lung transplantation as ultimate therapeutic strategy because deterioration of right ventricular function can be monitored.
动脉导管未闭是一种先天性心血管畸形，通常在儿童期通过超声心动图和/或心导管检查诊断。关于动脉导管未闭的磁共振成像报告很少。我们报告了3例成年女性患者和1例成年男性患者，磁共振成像能够显示其病变情况。对所有4例患者均计算了右心室功能的定量数据。4例患者中有3例通过心导管检查发现患有艾森曼格综合征的肺动脉高压，排除了动脉导管手术闭合的情况。未发生肺动脉高压的患者成功进行了动脉导管手术闭合。磁共振成像是一种可用于诊断动脉导管未闭的非侵入性工具，它可以量化右心室功能。磁共振成像可在艾森曼格综合征患者中重复使用，这可能有助于更好地确定心肺联合移植作为最终治疗策略的时机，因为可以监测右心室功能的恶化情况。
