Early Ductus Arteriosus Constriction: A Rare Case Presentation at ۱۸ Weeks of Gestation
محل انتشار: مجله بین المللی کودکان، دوره: 8، شماره: 8
سال انتشار: 1399
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 102
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شناسه ملی سند علمی:
JR_INJPM-8-8_023
تاریخ نمایه سازی: 5 شهریور 1402
چکیده مقاله:
The ductus arteriosus (DA) is a vital structure in fetal circulation, carrying about two thirds of the right ventricular (RV) output to the aorta. During fetal life, ductal patency is actively preserved by several different factors, and pathologic ductal constriction causes right-sided pressure overload of the heart, leading to RV failure. There have been many reports of ductal constriction so far, most of which are linked to maternal use of non-steroidal anti-inflammatory drugs, but they are mainly reported in the third trimester. In the present study, we report the case of a ۲۵-year-old gravid ۲ woman with premature constriction of the DA following maternal treatment with dexamethasone and ibuprofen at the very early age of ۱۸ weeks of gestation. She was referred to the radiology department for fetal echocardiography after a recent ingestion of ibuprofen for back pain. She was found to have had a constricted ductus arteriosus ۳ days after being medicated at the gestational age of ۱۸ weeks.
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نویسندگان
Reza Gerami
MD, Assistant professor of Radiology, Radiation Sciences Research center (RSRC), AJA University of Medical Sciences, Tehran, Iran.
Komeil Farajnejad Ghadi
MD, Department of Radiology, Iran University of Medical Sciences, Tehran, Iran.
Soudeh Roudbari
MD, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.