Document Detail


Rupture of fetal ductus arteriosus aneurysm.
MedLine Citation:
PMID:  15863609     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Ductus arteriosus aneurysm is a rare fetal disorder. CASE: A 35-year-old primigravida had an uneventful antenatal course. Ultrasound examination at 30 weeks of gestation revealed hydramnios. The fetal ductus arteriosus became saccular and dilated with turbulent flow and diameter of 2.5 cm. It was located at the left upper thorax, just distal to the pulmonic valve and extended to the thoracic aorta. A ductus arteriosus aneurysm was diagnosed prenatally. Five days after diagnosis, preterm labor occurred, and dexamethasone and terbutaline were administered. Six hours after initiation of terbutaline, the fetal heart rate suddenly dropped to 90 beats per minute (bpm). A bedside ultrasound examination performed immediately showed profound bradycardia. The aneurysm became a heterogeneous hypoechoic mass with no pulsation, and the fetal heart rate suddenly disappeared. CONCLUSION: Ductus arteriosus aneurysm can be diagnosed prenatally, and terbutaline or dexamethasone may be associated with a risk for rupture.
Authors:
Theera Tongsong; Pharuhas Chanprapaph; Rekwan Sittiwangkul; Supatra Sirichotiyakul
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  105     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-05-02     Completed Date:  2005-06-30     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1275-8     Citation Subset:  AIM; IM    
Affiliation:
Departments of Obstetrics and Gynecology and Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. ttongson@mail.cmu.ac.th
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MeSH Terms
Descriptor/Qualifier:
Adult
Aneurysm, Ruptured / physiopathology,  ultrasonography*
Autopsy
Ductus Arteriosus / physiopathology,  ultrasonography*
Echocardiography, Doppler
Female
Heart Rate, Fetal
Humans
Maternal Age
Obstetric Labor, Premature
Parity
Pregnancy
Pregnancy Outcome
Pregnancy Trimester, Third
Risk Assessment
Ultrasonography, Doppler, Color
Ultrasonography, Prenatal*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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