Chugh Reema, Salem Morris M
Cardiology Division, CMOB 308, Kaiser Permanente Medical Center, Panorama City, California.
Echocardiography. 2015 Jan;32 Suppl 2:S125-39. doi: 10.1111/echo.12457. Epub 2014 May 29.
Patent ductus arteriosus (PDA) represents at least 5-10% of all congenital heart defects (CHDs) making it a very important commonly diagnosed lesion. Although spontaneous closure of the PDA occurs within 24 to 48 hours after birth in the majority, those children who do not have natural or surgical closure may have a persistent PDA into adulthood. The diagnosis is most often confirmed by echocardiography that also guides catheter-based interventions and surgeries. Echocardiography continues to be the most important tool in long-term follow-up of residua and sequelae.
动脉导管未闭(PDA)占所有先天性心脏病(CHD)的至少5%-10%,使其成为一种非常重要且常见的诊断病变。尽管大多数情况下,PDA会在出生后24至48小时内自然闭合,但那些未自然闭合或未接受手术闭合的儿童可能会持续存在PDA直至成年。诊断通常通过超声心动图来确认,超声心动图还可指导基于导管的干预措施和手术。在对残留病变和后遗症的长期随访中,超声心动图仍然是最重要的工具。