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Health Dictionary

Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.

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Patent ductus arteriosus chest x ray

Introduction

Overview

Overview

The findings on chest x ray depends on the degree of shunting between left and right system.

Chest X Ray

Chest X Ray

Small-Sized PDA

Normal heart size and vascularity.^[1]

Medium-Sized PDA

Occasionally, the ductus can be seen as a separate convexity between the aortic knob and the pulmonary artery segments.^[2]
Cardiomegaly related to left atrium and left ventricular volume overloads.
Increase in the pulmonary vascular markings.
The ascending aorta may be prominent due to increased flow.

Large-Sized PDA

Similar to a PDA complicated by pulmonary vascular disease.^[3]^[4]
Left ventricular overload regresses by adolescence and the heart size may revert to normal.
The apex may be tilted upward reflecting right ventricular hypertrophy.
The pulmonary trunk and its branches are markedly dilated and may show central calcification, but in the outer third there is an abrupt decrease in vascularity.

Initial chest X-ray shows cardiomegaly. CT ratio was 0.59. Pulmonary edema in both lungs without pleural effusion can be seen ( — Initial chest X-ray shows cardiomegaly. CT ratio was 0.59. Pulmonary edema in both lungs without pleural effusion can be seen (A). The patient’s cardiomegaly and pulmonary edema show improvement after transcatheter closures of patent ductus arteriosus. CT ratio has decreased to 0.47 and symptoms related to heart failure improved without medical treatment including diuretics (B). Case courtesy by Hye Yeon Lee, MD et al^[5]

References

References

↑ Mak, MS; Ong, CC; Tay, EL; Teo, LL (2014). “Clinics in diagnostic imaging (155)”. Singapore Medical Journal. 55 (09): 462–467. doi:10.11622/smedj.2014113. ISSN 0037-5675.
↑ Davis, Peter (1995). “Precision and Accuracy of Clinical and Radiological Signs in Premature Infants at Risk of Patent Ductus Arteriosus”. Archives of Pediatrics & Adolescent Medicine. 149 (10): 1136. doi:10.1001/archpedi.1995.02170230090013. ISSN 1072-4710.
↑ Wiyono, S. A.; Witsenburg, M.; de Jaegere, P. P. T.; Roos-Hesselink, J. W. (2008). “Patent ductus arteriosus in adults”. Netherlands Heart Journal. 16 (7): 255–259. doi:10.1007/BF03086157. ISSN 1568-5888.
↑ Adler NA, Snoey ER, Barbant SD (2013). “An unusual cause of congestive heart failure in a young woman”. J Emerg Med. 45 (6): e193–6. doi:10.1016/j.jemermed.2013.05.027. PMID 24094805.
↑ “A Case of Patent Ductus Arteriosus with Congestive Heart Failure in a 80-Year-Old Man”.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Priyamvada Singh, M.B.B.S. [2], Cafer Zorkun, M.D., Ph.D. [3], Ramyar Ghandriz MD [4] Kristin Feeney, B.S. [5]