May Lauren A, Masand Prakash M, Qureshi Athar M, Jadhav Siddharth P
Department of Radiology, Nemours Children's Hospital, Delaware, Sidney Kimmel Medical College, Thomas Jefferson University, 1600 Rockland Road, Wilmington, DE, 19803, USA.
E. B. Singleton Department of Pediatric Radiology, Texas Children's Hospital, Baylor College of Medicine, Houston, TX, USA.
Pediatr Radiol. 2023 Mar;53(3):509-522. doi: 10.1007/s00247-022-05518-0. Epub 2022 Oct 12.
This article reviews the physiology of the ductus arteriosus, the pathophysiology of the patent ductus arteriosus (PDA), and the role advanced imaging such as computed tomography (CT) and magnetic resonance imaging (MRI) can play in guiding diagnosis and percutaneous or surgical intervention. A PDA can have variable clinical and radiologic presentations and can be important to characterize in patients with vascular rings, aortic maldevelopment and congenital heart disease. An understanding of the PDA and the application of CT and MRI can allow the radiologist to provide key information to physicians who plan to close a PDA or maintain PDA patency in the setting of ductal-dependent congenital heart disease.
本文回顾了动脉导管的生理学、动脉导管未闭(PDA)的病理生理学,以及计算机断层扫描(CT)和磁共振成像(MRI)等先进成像技术在指导诊断和经皮或手术干预方面的作用。PDA可有多种临床和影像学表现,对于血管环、主动脉发育异常和先天性心脏病患者而言,明确其特征很重要。了解PDA以及CT和MRI的应用,可使放射科医生为计划关闭PDA或在导管依赖性先天性心脏病情况下维持PDA通畅的医生提供关键信息。