[Table/Fig-3]:
Krichenko Angiographic Classification [6] | Type A (conical) |
Type B (window) | Type C (tubular) |
Type D (complex) |
Type E (elongated) |
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Incidence | 1 in 2500 to 5000 live births. (7) M:F 1:3. | ||||
Association | Duct-dependent conditions (hypoplastic left heart syndrome, interrupted aortic arch); Pulmonary atresia. | ||||
Syndromes | Chromosomal aberrations (trisomy 21 and 4p- syndrome), single-gene mutations (Carpenter’s syndrome and Holt-Oram Syndrome), X-linked mutations (incontinentia pigmenti). Char syndrome (an inherited disorder with PDA, facial dimorphism and hand anomalies) |
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Imaging Features Plain | Cardiomegaly | Pulmonary Plethora | Prominent ascending aorta and arch | Focal aortic dilatation (ductus bump) | LA enlargement |
Imaging Features Specific | Echo Colour Doppler more useful MRI for defining anatomy in unusual PDA geometry and in associated anomalies of aortic arch (right aortic arch, cervical arch) CT can assess degree of calcification in adult PDA[2,5] |
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Management | Transcatherter closure (Small PDA < 4mm Gianturco stainless coils; larger PDA Amplatzer device) [3,5] Surgical ligation (though thoracotomy or video-assisted thoracoscopic ligation) |