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Aneurysms of the Patent Ductus Arteriosus

1956; BMJ; Volume: 11; Issue: 4 Linguagem: Inglês

10.1136/thx.11.4.295

1468-3296

John B. Das, J. T. Chesterman,

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Rokitansky in 1852 gave the classical definition of an aneurysm of the patent ductus arteriosus as " a spherical or ovoid tumour larger in the middle than at either end, but smallest towards the pulmonary artery, with which, as well as with the aorta, it communicates, filled with old or recent thrombus and varying in size from a cherrystone to a hazelnut or even a walnut."Interest was aroused in this condition when we saw two post-operative aneurysms within a year.Martin (quoted by Scheef, 1939) is credited with having first described an aneurysm of the ductus arteriosus.Examination of the literature between 1827 and 1955 has yielded some 56 cases which satisfy Rokitansky's definition.Excellent reviews of the cases can be found in the papers of Scheef (1939), Graham (1940), and Lennox and Mac- Carthy (1951).Their surgical importance was stressed for the first time by Graham (1940) in an interesting paper entitled "Aneurysm of the Ductus Arteriosus with a Consideration of its Importance to the Thoracic Surgeon "-its importance in the differential diagnosis of mediastinal tumours.