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Giant aneurysm of the ductus arteriosus/Dev duktal anevrizma.

Aneurysm of ductus arteriosus (ADA) is characterized by a localized saccular or tubular dilatation of the ductus arteriosus and is a rare lesion that can be associated with sever complications such as thromboembolism, rupture, infection, erosion, compression of adjacent structure and death. Although there were many reported adults and children with symptoms related to ADA, recently published case reports suggest that congenital ADA may be more common than observed postnatally, with the majority of affected fetuses being asymptomatic at birth.

Diagnostic tools are transthoracic and/or transesophageal echocardiography, digital subtraction angiography (DSA), magnetic resonance imaging (MRI), 3D computed tomography (CT) scanning on clinically suspected patients.

Although regression of ADA after indomethacin treatment was clearly demonstrated by 3D CT scan, because of critical location and the high incidence of complications, it should be surgically corrected when diagnosed.

In patients with patent ductus arteriosus (PDA) infective endarteritis is an important reason for hospital admission, with a higher incidence of 4,8 patients / 1000 hospital admissions in children aged < 16 years admitted to a pediatric cardiology referral center.

Previously healthy 13 year-old boy was referred to the hospital for a high fever and poor general condition. Physical examination and l aboratory studies showed stenotic bicuspid aortic valve, dilatation of the ascending aorta, discrete coarctation at the isthmic localization, PDA, aneurysmatic structure at the posterior of ascending aorta and endarteritis with no vegetation at any localization (Fig. 1). Surgical correction was performed with Dacron tube graft aortoplasty after successful medical endarteritis therapy (Fig. 2). This case is an example of the rare anatomic structure, which emphasizes importance of infective endarteritis as an life threatening complication in these patients.

[FIGURE 1 OMITTED]

[FIGURE 2 OMITTED]

Gayaz Akcurin, Halil Ertug, Firat Kardelen, Saim Yilmaz *, Utku Senol *, Coskun Ikizler (1)

From Departments of Pediatric Cardiology and * Radiology, Faculty of Medicine, Akdeniz University, Antalya (1) Department of Cardiovascular Surgery, Alkan Hospital, Ankara, Turkey

Address for Correspondence/Yazilma Adresi: Dr. Gayaz Akcurin, Akdeniz Universitesi Tip Fakultesi, Pediatrik Kardiyoloji Bilim Dali, Antalya, Turkiye Phone: +90 242 249 65 43 Fax: +90 242 227 43 20 E-mail: gakcurin@akdeniz.edu.tr
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Title Annotation:E-page Original Images/E-sayfa Orijinal Goruntuler
Author:Akcurin, Gayaz; Ertug, Halil; Kardelen, Firat; Yilmaz, Saim; Senol, Utku; Ikizler, Coskun
Publication:The Anatolian Journal of Cardiology (Anadolu Kardiyoloji Dergisi)
Article Type:Case study
Date:Aug 1, 2008
Words:350
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