Journal of the Korean Pediatric Society 1967;10(2):85-90.
Published online February 28, 1967.
Atypical Patent Ductus Arteriosus
Young Hun Chung, Tae Sub Shim, Sung II Ahn, Chang Yee Hong
Department of Pediatrics,Seoul National University, Seoul,Korea
非定型的動服管開存徒의 臨皮的觀察
鄭鏡憲, 沈台燮, 安承一, 洪彭義
서울 大學校 醫科大學 小兒科學敎室
Abstract
Four cases of atypical patent ductus arteriosus are presented. All of them had history of frequent upper respiratory infection and exertional dyspnea since infancy. Systolic murmurs were audible on the pulmanic area. On radiologic examination, heart was markedly enlarged, pulmonary segment was prominent and pulmonary vascular markings were increased at the proximal part. E.K.G. findings revealed high voltage of QRS complex on the anterior precordial leads suggesting biventricular hypertrophy Cardiac catheterzation revealed marked pulmonary hypertension and left to right shunt at the pulmonary artery. In three cases, catheter could be passed the patent ductus arteriosus into the aorta A brief review of literature was made.




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