Diagnosis and Management of Fetal Ductus Arteriosus Constriction

We present a series of ductus arteriosus constriction, of which 3 cases were associated with tricuspid regurgitation, 1 case with right sided dominance of the heart and 1 case with moderate to severe right ventricular hypertrophy. Mild cases require close fetal monitoring and severe cases may need urgent delivery. Postnatal prognosis seems to be good in cases of ductal constriction associated with right heart abnormalities as right heart abnormalities resolve in a couple of weeks, although pulmonary hypertension and right ventricular failure are major concerns. P reventive measures include avoiding the use of NSAIDs and other medications especially in the 3rd trimester and changes in maternal dietary habits.
Source: Journal of Fetal Medicine - Category: Perinatology & Neonatology Source Type: research