Echocardiographic evaluation, management and outcomes of bilateral arterial ducts and complex congenital heart disease: 16 years' experience

Bilateral arterial ducts represent an uncommon form of pulmonary or systemic blood supply associated with complex congenital cardiac disease. We sought to determine the role of high-resolution cross-sectional echocardiography and color flow Doppler ultrasonography in assessing this condition, as wel...

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Bibliographic Details
Published in:Cardiology in the young 2002-05, Vol.12 (3), p.272-277
Main Authors: Peirone, Alejandro, Abdullah, Mustafa M., Dicke, Frank, Freedom, Robert M., Smallhorn, Jeffrey
Format: Article
Language:English
Subjects:
Bilateral arterial ducts
Coronary Circulation
Coronary Vessel Anomalies - diagnostic imaging
Coronary Vessel Anomalies - embryology
Coronary Vessel Anomalies - therapy
Echocardiography
Echocardiography, Doppler, Color
Heart Diseases - congenital
Heart Diseases - diagnostic imaging
Heart Diseases - therapy
Humans
Infant, Newborn
management
Original Article
outcome
Outcome Assessment (Health Care)
Retrospective Studies
Sensitivity and Specificity
Severity of Illness Index
Time Factors
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Summary:Bilateral arterial ducts represent an uncommon form of pulmonary or systemic blood supply associated with complex congenital cardiac disease. We sought to determine the role of high-resolution cross-sectional echocardiography and color flow Doppler ultrasonography in assessing this condition, as well as to describe the management and outcome in a group of patients. A retrospective review was conducted of 11 newborns identified over a 16-year period as having bilateral arterial ducts. Pulmonary atresia associated with non-confluent pulmonary arteries was the dominant lesion, with the heterotaxy syndrome also frequently being recognized. Echocardiography best identified the source of blood supply to either the pulmonary or systemic circulations, allowing differentiation from collateral vessels. Stenosis of the right or left pulmonary artery at the initial site of ductal insertion needs careful evaluation on follow-up. Management of patients with this condition remains a challenge, as indicated by the poor outcomes observed in our series.
ISSN:1047-9511
1467-1107
DOI:10.1017/S1047951102000586