The Patent Ductus Arteriosus in Adults with Special Focus on Role of CT

The primary imaging modality for the diagnosis of patent ductus arteriosus (PDA) is echocardiography. However, CT may be the technique on which an incidental PDA is first recognized because of the increasing number of chest CT scans performed for a variety of causes. Identification of PDA on CT may...

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Main Authors: Soo Jeong Lee, Seung Min Yoo, Min Ji Son, Charles S. White
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/11/12/2394
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author Soo Jeong Lee
Seung Min Yoo
Min Ji Son
Charles S. White
author_facet Soo Jeong Lee
Seung Min Yoo
Min Ji Son
Charles S. White
author_sort Soo Jeong Lee
collection DOAJ
description The primary imaging modality for the diagnosis of patent ductus arteriosus (PDA) is echocardiography. However, CT may be the technique on which an incidental PDA is first recognized because of the increasing number of chest CT scans performed for a variety of causes. Identification of PDA on CT may lead to earlier closure using a PDA occluder device. Immediate identification of incidental PDA is important, but a high rate of missed diagnosis of PDA has been reported due to its small size and anatomic location. In addition, echocardiography may overlook the presence of even a large PDA due to decrease in the amount of shunting through the PDA caused by high pulmonary artery pressures. This review provides the basic CT anatomy and clinical perspective of PDA, and discusses the role of CT in the evaluation of PDA as well as methods to avoid overlooking a small PDA on CT.
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spelling doaj.art-bf1e4c357668421aacf7c6017a6da2d02023-11-23T07:55:28ZengMDPI AGDiagnostics2075-44182021-12-011112239410.3390/diagnostics11122394The Patent Ductus Arteriosus in Adults with Special Focus on Role of CTSoo Jeong Lee0Seung Min Yoo1Min Ji Son2Charles S. White3Department of Radiology, CHA University Kangnam Medical Ceneter, Seoul 06135, KoreaDepartment of Radiology, CHA University Bundang Medical Ceneter, Seongnam 13497, KoreaDepartment of Radiology, CHA University Bundang Medical Ceneter, Seongnam 13497, KoreaDepartment of Radiology, University of Maryland, Baltimore, MD 21201, USAThe primary imaging modality for the diagnosis of patent ductus arteriosus (PDA) is echocardiography. However, CT may be the technique on which an incidental PDA is first recognized because of the increasing number of chest CT scans performed for a variety of causes. Identification of PDA on CT may lead to earlier closure using a PDA occluder device. Immediate identification of incidental PDA is important, but a high rate of missed diagnosis of PDA has been reported due to its small size and anatomic location. In addition, echocardiography may overlook the presence of even a large PDA due to decrease in the amount of shunting through the PDA caused by high pulmonary artery pressures. This review provides the basic CT anatomy and clinical perspective of PDA, and discusses the role of CT in the evaluation of PDA as well as methods to avoid overlooking a small PDA on CT.https://www.mdpi.com/2075-4418/11/12/2394computed tomographypatent ductus arteriosusCT
spellingShingle Soo Jeong Lee
Seung Min Yoo
Min Ji Son
Charles S. White
The Patent Ductus Arteriosus in Adults with Special Focus on Role of CT
Diagnostics
computed tomography
patent ductus arteriosus
CT
title The Patent Ductus Arteriosus in Adults with Special Focus on Role of CT
title_full The Patent Ductus Arteriosus in Adults with Special Focus on Role of CT
title_fullStr The Patent Ductus Arteriosus in Adults with Special Focus on Role of CT
title_full_unstemmed The Patent Ductus Arteriosus in Adults with Special Focus on Role of CT
title_short The Patent Ductus Arteriosus in Adults with Special Focus on Role of CT
title_sort patent ductus arteriosus in adults with special focus on role of ct
topic computed tomography
patent ductus arteriosus
CT
url https://www.mdpi.com/2075-4418/11/12/2394
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