Echocardiography in diagnosis of premature closure and constriction of fetal ductus arteriosus

ZHANG Jia-min; MA Yong-hong; SHEN Yan; MA Xue-juan; LIU Li-ping; LI Li; LUO Zhi-ling

Journal of China Clinic Medical Imaging ›› 2017, Vol. 28 ›› Issue (3) : 204-207.

ZHANG Jia-min, MA Yong-hong, SHEN Yan, MA Xue-juan, LIU Li-ping, LI Li, LUO Zhi-ling

Author information +

History +

Abstract

Objective: To discuss the value of echocardiography in diagnosis of premature closure and constriction of fetal ductus arteriosus, and to observe the prognosis. Methods: Analyzing the echocardiography features in 1 case of premature closure of fetal ductus arteriosus and 6 cases of constriction of fetal ductus arteriosus, observing the prognosis of all 7 cases. Results: The main echocardiography features of premature closure and constriction of fetal ductus arteriosus were truncation or narrowing of the lumen, accelerated systolic and diastolic blood flow in ductus arteriosus, tricuspid regurgitation, dilation of right heart, broadening of main pulmonary artery and increased pulmonary artery pressure. The prognosis was favorable if the treatment was appropriate. Conclusion: Echocardiography plays an important role in diagnosis of premature closure and constriction of fetal ductus arteriosus.

Key words

Fetal heart / Heart defects, congenital / Echocardiography

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

ZHANG Jia-min, MA Yong-hong, SHEN Yan, MA Xue-juan, LIU Li-ping, LI Li, LUO Zhi-ling. Echocardiography in diagnosis of premature closure and constriction of fetal ductus arteriosus[J]. Journal of China Clinic Medical Imaging. 2017, 28(3): 204-207

References

[1]Enzensberger C, Wienhard J, Weichert J, et al. Idiopathic constriction of the fetal ductus arteriosus: three cases and review of the literature[J]. Ultrasound Med, 2012, 31(8): 1285-1291.
[2]Clyman RI. Ductus arteriosus: current theories of prenatal and postnatal regulation[J]. Semin Perinatol, 1987, 11(1): 64-71.
[3]Clyman RI. Mechanisms regulating the ductus arteriosus[J]. Biol Neonate, 2006, 89(4): 330-335.
[4]Van den Veyver IB, Moise KJ. Prostaglandin synthetase inhibitors in pregnancy[J]. Obstet Gynecol Surv, 1993, 48(7): 493-502.
[5]Trevett TN, Cotton J. Idiopathic constriction of the fetal ductus arteriosus[J]. Ultrasound Obstet Gynecol, 2004, 23(5): 517-519.
[6]Wei S, Ailu C, Ying Z, et al. Idiopathic occlusion of the fetal ductus arteriosus without lumen narrowing[J]. Echocardiography, 2011, 28(4): E85-88.
[7]Echtler K, Stark K, Lorenz M, et al. Platelets contribute to postnatal occlusion of the ductus arteriosus[J]. Nat Med, 2010, 16(1): 75-82.
[8]Zielinsky P, Busato S. Prenatal effects of maternal consumption of polyphenol-rich foods in late pregnancy upon fetal ductus arteriosus[J]. Birth Defects Res C Embryo Today, 2013, 99(4): 256-274.
[9]Lopes LM, Carrilho MC, Francisco RP, et al. Fetal ductus arteriosus constriction and closure: analysis of the causes and perinatal outcome related to 45 consecutive cases[J]. Matern Fetal Neonatal Med, 2016, 29(4): 638-645.
[10]James CH, Gerald T, Sharon RWC. Evaluation of pulmonary and ductal vasculature: fetal echocardiography for evaluation of therapy for preterm labor[M]. Berlin: Springer Berlin Heidelberg, 2005: 547-556.
[11]Tumbarello R, Pisu F, Pisano E, et al. Timely detection of premature closure of the ductus arteriosus in a full-term fetus. Important role of fetal echocardiography[J]. Minerva Ginecol, 1999, 51(5): 197-201.
[12]Gewillig M, Brown SC, De Catte L, et al. Premature fetal closure of the arterial duct: clinical presentations and outcome[J]. Eur Heart J, 2009, 30(12): 1530-1536.
[13]Tulzer G, Gudmundsson S, Sharkey AM, et al. Doppler echocardiography of fetal ductus arteriosus constriction versus increased right ventricular output[J]. J Am Coll Cardiol, 1991, 18(2): 532-536.
[14]Gudmundsson S. It can take 10 days for the right fetal ventricle to recover after a temporary closure of the ductus arteriosus[J]. Ultrasound Obstet Gynecol, 2006, 28(3): 349-351.
[15]Mielke G, Steil E, Breuer J, et al. Circulatory changes following intrauterine closure of the ductus arteriosus in the human fetus and newborn[J]. Prenat Diagn, 1998, 18(2): 139-145.
[16]Hofstadler G, Tulzer G, Altmann R, et al. Spontaneous closure of the human fetal ductus arteriosus—A cause of fetal congestive heart failure[J]. Am J Obstet Gynecol, 1996, 174(3): 879-883.