[意外发现成人动脉导管未闭]。

Revue medicale de Liege Pub Date : 2024-10-01
Audrey Lambert, Marie-Christine Seghaye, Patrizio Lancellotti
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引用次数: 0

摘要

动脉导管未闭是连接降主动脉近端和主肺动脉的血管结构,靠近左肺动脉的起源。出生后几周内动脉导管持续通畅是不正常的。在成人中,这通常是一个孤立的发现,但也可能与其他先天性异常有关。其影响取决于导管的大小,从没有症状和体征到艾森曼格综合征不等。超声心动图是诊断的关键。多模态成像可以精确地确定解剖特征。根据超声参数和右心导管检查结果,建议通过经皮放置闭合装置进行治疗。
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[Incidental discovery of a patent ductus arteriosus in adults].

The patent ductus arteriosus is a vascular structure that connects the proximal descending aorta to the main pulmonary artery near the origin of the left pulmonary artery. The persistence of ductal patency after the first weeks of life is abnormal. In adults, it is most often an isolated finding but it may be associated with other congenital anomalies. Its repercussions depend on the size of the duct, varying from the absence of signs and symptoms to Eisenmenger's syndrome. Echocardiography is the keystone of diagnosis. Multimodal imaging allows precise anatomical characterization. Treatment with percutaneous placement of a closure device is recommended based on ultrasound parameters and right heart catheterization.

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