Utility of Computed Tomography in Diagnosis of a Patent Ductus Arteriosus in Pulmonary Artery Endarteritis

Anneliese J Grewing; Betul Yilmaz Furtun; Melissa K Webb

doi:10.1016/j.jaccas.2022.09.017

Utility of Computed Tomography in Diagnosis of a Patent Ductus Arteriosus in Pulmonary Artery Endarteritis

JACC Case Rep. 2022 Nov 3:5:101649. doi: 10.1016/j.jaccas.2022.09.017. eCollection 2023 Jan 4.

Authors

Anneliese J Grewing¹, Betul Yilmaz Furtun¹, Melissa K Webb¹

Affiliation

¹ Baylor College of Medicine Department of Pediatrics and Texas Children's Hospital, Houston, Texas, USA.

Abstract

A 15-year-old patient with infective endarteritis had a pulmonary artery vegetation but no ductus arteriosus on echocardiogram. Computed tomography scan revealed a closed ductus that became patent after antibiotics and anticoagulation. Infective endarteritis should be considered in patients with a pulmonary artery vegetation even if no ductus is seen on echocardiogram. (Level of Difficulty: Intermediate.).

Keywords: CT, computed tomography; LPA, left pulmonary artery; PDA, patent ductus arteriosus; endocarditis; imaging; thrombus.