The Effect of a Significant Patent Ductus Arteriosus on Doppler Flow Patterns of Preductal Vessels: An Assessment of the Brachiocephalic Artery

Colm R Breatnach; Orla Franklin; Naomi McCallion; Afif El-Khuffash

doi:10.1016/j.jpeds.2016.09.029

The Effect of a Significant Patent Ductus Arteriosus on Doppler Flow Patterns of Preductal Vessels: An Assessment of the Brachiocephalic Artery

J Pediatr. 2017 Jan:180:279-281.e1. doi: 10.1016/j.jpeds.2016.09.029. Epub 2016 Oct 18.

Authors

Colm R Breatnach¹, Orla Franklin², Naomi McCallion³, Afif El-Khuffash⁴

Affiliations

¹ Department of Neonatology, The Rotunda Hospital, Dublin, Ireland.
² Department of Cardiology, Our Lady's Children's Hospital Crumlin, Dublin, Ireland.
³ Department of Neonatology, The Rotunda Hospital, Dublin, Ireland; Department of Pediatrics, School of Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland.
⁴ Department of Neonatology, The Rotunda Hospital, Dublin, Ireland; Department of Pediatrics, School of Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland. Electronic address: [email protected].

PMID: 27769551
DOI: 10.1016/j.jpeds.2016.09.029

Abstract

Systemic hypoperfusion secondary to a patent ductus arteriosus (PDA) is thought to only affect post-ductal vessels. In a prospective observational study of 51 preterm infants, we demonstrated that a persistent PDA by day 5-7 is associated with reversed diastolic flow in the brachiocephalic artery when compared with those without a PDA.

Publication types

Observational Study
Research Support, Non-U.S. Gov't

MeSH terms

Brachiocephalic Trunk*
Ductus Arteriosus, Patent / diagnostic imaging*
Ductus Arteriosus, Patent / physiopathology*
Echocardiography, Doppler*
Female
Humans
Infant, Newborn
Infant, Premature
Male
Prospective Studies
Regional Blood Flow