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Case Reports
. 2010 Jan;3(1):80-2.
doi: 10.4103/0974-2069.64364.

Ductal aneurysm masquerading as nonresolving pneumonia: A challenging differential!

Maitri Chodhary  1 , Munesh Tomar, Sitaraman Radhakrishnan
Affiliations
Case Reports

Ductal aneurysm masquerading as nonresolving pneumonia: A challenging differential!

Maitri Chodhary et al. Ann Pediatr Cardiol. 2010 Jan.

Abstract

We report here, the case of a six-and-a-half-month-old boy investigated for persistent respiratory distress and homogeneous opacity in the left upper lobe. Echocardiography revealed a giant ductal aneurysm compressing the left pulmonary artery and upper lobe division of the left bronchus. Computerized tomography angiogram delineated the exact anatomy and prompt surgical resection provided a successful cure to this lesser known entity.

Keywords: Ductal aneurysm; PDA; pneumonia.

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Conflict of interest statement

Conflict of Interest: None declared

Figures

Figure 1
Figure 1
Chest X-ray (PA view) showing homogenous rounded opacity in the left upper thorax produced by the ductal aneurysm, normal lung parenchyma, normal pulmonary blood flow, and there was no cardiomegaly. DAA-ductus arteriosus aneurysm
Figure 2a
Figure 2a
Two-dimensional echocardiography from modified suprasternal echocardiographic long axis view showing the aneurysm and the ampulla (arrow)
Figure 2b
Figure 2b
Two-dimensional echocardiography from modified suprasternal short axis view showing large ductal aneurysm with wide ampulla
Figure 2c
Figure 2c
High parasternal short axis view with color flow mapping showing tiny ductal flow (left to right) with normal flow in the right pulmonary artery DAA-ductus arteriosus aneurysm, RPA-right pulmonary artery, LPA-left pulmonary artery, DAo-descening aorta. Ao arch-aortic arch, PDA-patent ductus arteriosus
Figure 3
Figure 3
High resolution computed tomography (HRCT) angiography of the chest (a) Compression of left upper lobe bronchus and left upper lobe collapse (b) Large ductal aneurysm compressing the left pulmonary artery (c) Three-dimensional reconstruction of HRCT chest from the posterior aspect, showing the large ductal aneurysm originating from the descending aorta just distal to the origin of the left subclavian artery. Lt Br-left bronchus, rt lung-right lung, lt lung-left lung, AAo-ascending aorta, Dao-descending aorta, LPA-left pulmonary artery, DAA-ductus arteriosus aneurysm
See this image and copyright information in PMC

References

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