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. 2016 Jun 1;10(6):TE01–TE06. doi: 10.7860/JCDR/2016/21442.8040

[Table/Fig-3]:

Patent Ductus Arteriosus: Important Facts [2].

Krichenko Angiographic Classification [6] Type A
(conical)
Type B (window) Type C
(tubular)
Type D
(complex)
Type E
(elongated)
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)
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]
Management Transcatherter closure (Small PDA < 4mm Gianturco stainless coils; larger PDA Amplatzer device) [3,5]
Surgical ligation (though thoracotomy or video-assisted thoracoscopic ligation)