Patent Ductus Arteriosus with Reversal of Flow in Adults
Authors: FRANK H. DAILEY
Journal: Annals of Internal Medicine (1962)

Article1 June 1962Patent Ductus Arteriosus with Reversal of Flow in AdultsFRANK H. DAILEY, M.D., PASQUALE D. GENOVESE, M.D., F.A.C.P., ROY H. BEHNKE, M.D.FRANK H. DAILEY, M.D.Search for more papers by this author, PASQUALE D. GENOVESE, M.D., F.A.C.P.Search for more papers by this author, ROY H. BEHNKE, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-56-6-865 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe clinical syndrome of patent ductus arteriosus with reversal of flow is specifically different from that of the classic, uncomplicated patent ductus. For this reason and because of its relative infrequency it may present a difficult diagnostic problem.In 1925 Holman (1) reported the abstracts of 28 cases of patent ductus previously collected by Halsted, and on the basis of the autopsy findings felt that 16 of the patients had predominantly right to left shunts. The earliest of these cases, reported by Luys in 1856, suffered from lifelong dyspnea, was cyanotic, and had no murmur. Following this review the literature...References1. HOLMAN E: Certain types of congenital heart disease interpreted as intracardiac arteriovenous and veno-arterial fistulae. Bull. Johns Hopkins Hosp. 36: 61, 1925. Google Scholar2. GENOVESEKHOO PDEC: Patent ductus arteriosus with pulmonary hypertension and reversed flow. J. Indiana Med. Ass. 52: 217, 1959. Google Scholar3. TREVER RW: Hypertrophic osteoarthropathy in association with congenital cyanotic heart disease. Ann. Intern. Med. 48: 660, 1958. LinkGoogle Scholar4. 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BOTHWELLVANLINGENWHIDBORNEKAYEMCGREGORELLIOTT THBJJMGA: Patent ductus arteriosus with partial reversal of the shunt. Amer. Heart J. 44: 360, 1952. CrossrefMedlineGoogle Scholar11. GORDONDONOSOKUHNRAVITCHHIMMELSTEIN AJELAMMA: Patent ductus arteriosus with reversal of flow. New Engl. J. Med. 251: 923, 1954. CrossrefMedlineGoogle Scholar12. LUKASARAVJOSTEINBERG DSJI: The syndrome of patent ductus arteriosus with reversal of flow. Amer. J. Med. 17: 298, 1954. CrossrefMedlineGoogle Scholar13. COSH JA: Patent ductus arteriosus with pulmonary hypertension. Brit. Heart J. 15: 423, 1953. CrossrefMedlineGoogle Scholar14. DAMMANNBERTHRONGBING JFMRJ: Reverse ductus. Bull. Johns Hopkins Hosp. 92: 128, 1953. MedlineGoogle Scholar15. KATTUSMULLER AAWH: Patent ductus arteriosus with reversal of blood flow. Ann. Surg. 138: 870, 1953. CrossrefMedlineGoogle Scholar16. JOHNSONWERMERKUSCHNERCOURNAND REPMA: Intermittent reversal of flow in a case of patent ductus arteriosus. Circulation 1: 1293, 1950. 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EVANSSHORT WDS: Pulmonary hypertension in congenital heart disease. Brit. Heart J. 20: 529, 1958. CrossrefMedlineGoogle Scholar24. TAUSSIG HB: Congenital Malformations of the Heart, 2d ed., Harvard University Press, Cambridge, 1960. Google Scholar25. ZIEGLER RF: The importance of patent ductus arteriosus in infants. Amer. Heart J. 43: 553, 1952. CrossrefMedlineGoogle Scholar26. HEATHDUSHANEWOODEDWARDS DJWEHJE: The structure of the pulmonary trunk at different ages and in cases of pulmonary hypertension and pulmonary stenosis. J. Path. Bact. 77: 443, 1959. CrossrefMedlineGoogle Scholar27. EVANSHEATH DWD: Disappearance of a continuous murmur in a case of patent ductus arteriosus. Brit. Heart J. 23: 469, 1961. CrossrefMedlineGoogle Scholar28. SHEPHERDWEIDMANBURKEWOOD JTWHECEH: Hemodynamics in patent ductus arteriosus without a murmur. Circulation 11: 404, 1955. CrossrefMedlineGoogle Scholar29. ANDERSONADAMSVARRO RCPRL: Patent ductus arteriosus with reversal of flow. Pediatrics 18: 410, 1956. MedlineGoogle Scholar30. MEYERSSCANNELLWYMANDIMONDHURST GSJGSMEGJW: Atypical patent ductus arteriosus with absence of the usual aortic-pulmonary pressure gradient and of the characteristic murmur. Amer. Heart J. 41: 819, 1951. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Indianapolis, IndianaFrom the Medical Service, Veterans Administration Hospital, and Department of Medicine, Indiana University School of Medicine.Supported by Heart Research Center Grant H6308, Cardiovascular Training Grant HTS5363 from the National Heart Institute of the National Institutes of Health, United States Public Health Service, and the Indiana Heart Association.Dr. Dailey carried out this work during his tenure as a Cardiovascular Research Fellow under HTS5363.Requests for reprints should be addressed to Roy H. Behnke, M.D., Veterans Administration Hospital, 1481 West Tenth Street, Indianapolis, Indiana. 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MCLAUGHLIN, M.D., DANIEL J. MCCARTY JR., M.D., F.A.C.P., D. F. DOWNING, M.D., F.A.C.P.Pulmonary Hypertrophic OsteoarthropathyH. EDWARD HOLLING, M.D., F.A.C.P.Kurzschlußverbindungen des großen und kleinen KreislaufsAbsent left pulmonary artery, right-sided aortic arch and patent ductus arteriosus with right to left shunt 1 June 1962Volume 56, Issue 6Page: 865-882KeywordsDyspneaGratitudeHeartHospital medicineHypertensionMedical servicesPatent ductus arteriosusPatient advocacyPrevention, policy, and public healthResearch grants ePublished: 1 December 2008 Issue Published: 1 June 1962 PDF downloadLoading ...