Mueller Silvana, Plank Fabian, Klimes Katrin, Feuchtner Gudrun, Mair Johannes
Department of Internal Medicine III - Cardiology and Angiology, Department of Pediatric Cardiology, Innsbruck Medical University, 6020, Innsbruck, Austria.
Department of Radiology, Innsbruck Medical University, 6020, Innsbruck, Austria.
Wien Klin Wochenschr. 2016 Dec;128(23-24):925-927. doi: 10.1007/s00508-016-1061-2. Epub 2016 Aug 26.
Patent ductus arteriosus (PDA) is the third most common congenital abnormality in which the arterial duct, which normally closes spontaneously after birth within 24-48 h in full-term infants, remains permanently open. Breathlessness is very common in elderly patients and can be caused by several comorbidities, mostly cardiac and pulmonary diseases. PDA as a cause of heart failure in this patient population is very rare and diagnosis depends on high clinical awareness. Here we present a case diagnosed with multimodality imaging including 3‑dimensional (3D) transthoracic and transesophageal echocardiography and 3D-volume rendering technique (VRT) computed tomography.
动脉导管未闭（PDA）是第三常见的先天性异常，其中动脉导管在足月儿出生后24 - 48小时内通常会自然闭合，但在此病例中却持续永久性开放。呼吸困难在老年患者中非常常见，可能由多种合并症引起，主要是心脏和肺部疾病。PDA作为该患者群体心力衰竭的病因非常罕见，诊断依赖于高度的临床意识。在此，我们报告一例通过多模态成像诊断的病例，包括三维（3D）经胸和经食管超声心动图以及3D容积再现技术（VRT）计算机断层扫描。
