[Contribution of color Doppler in the diagnosis of bilateral ductus arteriosus].
We report a neonate with distal bilateral ductus arteriosus origin of nonconfluent pulmonary arteries which was only diagnosed accurately by 2-D echo Doppler color flow mapping in the context of situs ambiguous, univentricular A-V connection and pulmonary atresia with normal systemic/pulmonary venous drainage. The color flow appearance of this singular vascular anatomy was enhanced after prostaglandin administration, which, allowed us to see an image resembling a "moustache morphology". At 36 months of age, and after a successful bilateral 4 mm modified Blalock Taussig shunt implantation by sequential approach, the patient is waiting for the next surgical step which will include a restoration of the confluence of the pulmonary arteries with bidirectional Glenn operation. Brief embryological and differential diagnosis comments are discussed.
Cazzaniga
M
M
Laboratorio de Ecocardiografía, Servicio de Cardiología Pediátrica, Hospital Ramón y Cajal, Madrid.
Rico
F
F
Fernández Pineda
L
L
González
C
C
Quero
M
M
Maître
M
M
D000714:Anastomosis, Surgical; D004374:Ductus Arteriosus, Patent / Q000000981:diagnostic imaging* / Q000601:surgery; D018618:Echocardiography, Doppler, Color; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities / Q000601:surgery; D013348:Subclavian Artery / Q000601:surgery
Contribución del Doppler color al diagnóstico de ductus arterioso bilateral.