Korean Circulation Journal

  • 제43권11호
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  • Pages.774-781
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  • 2013
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  • 1738-5520(pISSN)
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  • 1738-5555(eISSN)
대한심장학회 (The Korean Society of Cardiology)
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A Case of Progressive Ductal Constriction in a Fetus

  • Choi, Eun Young (Department of Pediatrics, Seoul National University Bundang Hospital) ;
  • Li, Meihua (Department of Pediatric Cardiology, Harbin Children's Hospital) ;
  • Choi, Chang Won (Department of Pediatrics, Seoul National University Bundang Hospital) ;
  • Park, Kyo Hoon (Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital) ;
  • Choi, Jung Yun (Department of Pediatrics, Seoul National University Bundang Hospital)
  • 투고 : 2013.05.19
  • 심사 : 2013.07.17
  • 발행 : 2013.11.30
⟨ 이전 논문 다음 논문 ⟩

초록

The ductus arteriosus is a normal and essential structure in fetal circulation. Since the introduction of fetal echocardiography, there have been reports of ductal constriction, many of which were related to maternal use of some medications. However, there have been some reports of idiopathic ductal constriction, which usually present in later gestation. Recently we experienced a case, which initially showed an S-shaped ductus with mild narrowing at 23 weeks and 27 weeks gestation and developed severe ductal constriction at 33 weeks. Soon after birth, ductus was searched for but no ductus was found in 2-D and color images. The neonate required mechanical ventilation with supplemental oxygen for 3 days. All echocardiographic abnormalities were normalized in 7 months. We report progressive ductal constriction in an S-shaped ductus and emphasize the importance of continuous follow up extending to the third trimester and even immediately after birth.

키워드

참고문헌

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피인용 문헌

  1. Idiopathic Constriction of the Fetal Ductus Arteriosus with Right Ventricular Failure; Rapid Resolution after Birth vol.25, pp.4, 2013, https://doi.org/10.14734/kjp.2014.25.4.297
  2. Premature constriction of the ductus arteriosus vol.82, pp.3, 2013, https://doi.org/10.1016/j.anpede.2014.07.002
  3. Diagnosis and Management of Fetal Ductus Arteriosus Constriction vol.7, pp.3, 2020, https://doi.org/10.1007/s40556-020-00266-3
  4. Foetal ductus arteriosus constriction unrelated to non-steroidal anti-Inflammatory drugs: a case report and literature review vol.53, pp.1, 2021, https://doi.org/10.1080/07853890.2021.1921253
  5. Maternal paracetamol intake and fetal ductus arteriosus constriction/closure: comprehensive signal evaluation using the Austin Bradford Hill criteria vol.77, pp.7, 2013, https://doi.org/10.1007/s00228-020-03039-z