Presentation
Intubation. Extreme premature baby born at 25 weeks gestation. One baby of a set of twins.
Patient Data
the ETT terminates at the T3 level and is well above the carina. The OG tube ends in the stomach and its port is below the GE junction. The right upper extremity PICC is traced into the mid/distal SVC. The PDA occluder device is seen in the mediastinum in a stable position. The overlying leads and wires obscure details
overall slightly increased diffuse bilateral mainly perihilar interstitial, ground-glass, and dense opacifications, right greater than left due to edema, atelectasis, and broncho-pulmonary dysplasia in this extreme premature baby
the cardiac silhouette is obscured on this exam and the heart appears mildly enlarged
Case Discussion
This occluder device is used to close the patent ductus arteriosus. This procedure is widely used instead of surgical closure in most pediatric cardiology centers due to its recorded efficacy and safety in children.
This case was submitted with supervision and input from:
Soni C. Chawla, M.D.
Health Sciences Clinical Professor,
Department of Radiological Sciences,
David Geffen School of Medicine at UCLA.
Attending Pediatric Radiologist,
Olive View - UCLA Medical Center.