Prenatal diagnosis of premature constriction of the ductus arteriosus with tricuspid papillary muscle rupture: a case report

We describe the case of a neonate who was prenatally diagnosed at a gestational age of 36 weeks with premature constriction of the ductus arteriosus. Blood from the thin ductus arteriosus flowed toward the pulmonary artery. Severe tricuspid regurgitation was also observed. We subsequently confirmed...

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Veröffentlicht in:Journal of medical ultrasonics (2001) 2018-04, Vol.45 (2), p.337-340
Hauptverfasser: Inatomi, Ayako, Sasahara, Jun, Ishii, Keisuke, Nobuaki, Mistuda
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container_end_page 340
container_issue 2
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container_title Journal of medical ultrasonics (2001)
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creator Inatomi, Ayako
Sasahara, Jun
Ishii, Keisuke
Nobuaki, Mistuda
description We describe the case of a neonate who was prenatally diagnosed at a gestational age of 36 weeks with premature constriction of the ductus arteriosus. Blood from the thin ductus arteriosus flowed toward the pulmonary artery. Severe tricuspid regurgitation was also observed. We subsequently confirmed rupture of the tricuspid papillary muscle after birth. Cardiotonic drugs and nitric oxide were administered immediately at birth for pulmonary hypertension, and this therapy was continued until the seventh postnatal day. Emergency tricuspid valve repair was unnecessary, because there were no signs of severe circulatory insufficiency. This case suggests a relationship between prenatally diagnosed premature constriction of the ductus arteriosus and tricuspid papillary muscle rupture in neonates.
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subjects Cardiovascular agents
Case Report
Case reports
Constrictions
Etiology
Fetuses
Flow velocity
Gestational age
Hypertension
Imaging
Infants (Newborn)
Ischemia
Medical prognosis
Medicine
Medicine & Public Health
Muscles
Nitric oxide
Nonsteroidal anti-inflammatory drugs
Pregnant women
Pulmonary arteries
Pulmonary hypertension
Radiology
Ultrasonic imaging
Ultrasound
Veins & arteries
title Prenatal diagnosis of premature constriction of the ductus arteriosus with tricuspid papillary muscle rupture: a case report
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