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Case Reports
. 2023 Aug 26;18(11):3917-3921.
doi: 10.1016/j.radcr.2023.08.050. eCollection 2023 Nov.

Asymptomatic congenital ductus arteriosus aneurysm in a newborn: Case by approach

Thuy Huynh  1 , Thuy Pham  2   3 , Phuong Ho  1 , Phuong Cam  4 , Vinh Pham  2 , Phuc Vu  2   3
Affiliations
Case Reports

Asymptomatic congenital ductus arteriosus aneurysm in a newborn: Case by approach

Thuy Huynh et al. Radiol Case Rep. .

Abstract

A ductus arteriosus aneurysm is a rare congenital lesion with a localized saccular or tubular dilation of the ductus arteriosus. This lesion usually appears in all ages. Some case reports suggest the most common age of diagnosis is less than 2 months. We reported a case of an asymptomatic ductus arteriosus aneurysm in neonates. Echocardiography at 2 days of age revealed a tubular dilation of the ductus arteriosus connected to the pulmonary artery. Computed tomography angiogram showed a ductus arteriosus aneurysm with thrombus at the pulmonary end. It resolved spontaneously in the six months of life without serious complications.

Keywords: Computed tomography angiogram; Ductus arteriosus aneurysm; Echocardiography; Patent ductus arteriosus; Thrombosis.

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Figures

Fig. 1. (
Fig. 1
(A) The suprasternal long-axis view showed a 10 × 17 mm of the ductus arteriosus aneurysm (arrow) from the proximal descending aorta and toward to anterosuperior. (B) That sac connects to the main pulmonary artery (arrow).
Fig. 2.
Fig. 2
Continuous left-to-right shunt at the pulmonary end of patent ductus arteriosus.
Fig. 3.
Fig. 3
The ductus arteriosus aneurysm (arrow) in 3D reconstruction.
Fig. 4.
Fig. 4
A thin thrombus layer (arrow) at the bottom of the saccular (pulmonary end), without communication between the ductus arteriosus aneurysm and the pulmonary artery.
Fig. 5.
Fig. 5
The ductus arteriosus aneurysm (arrow) did not compress adjacent structures, such as the left pulmonary artery (asterisk) or trachea.
See this image and copyright information in PMC

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