• Patent Ductus Arteriosus
    • Large PDA seen entering the main pulmonary artery near the left pulmonary artery
  • Patent Ductus Arteriosus
    • Large PDA seen entering the main pulmonary artery near the left pulmonary artery
  • Patent Ductus Arteriosus 
    • Large PDA with bidirectional shunting (left to right = red flow, right to left = blue flow)
  • Patent Ductus Arterious 
    • Large PDA with continuous left to right shunting (red flow)
  • Patent Ductus Arterious 
    • PDA with continuous left to right shunting (red flow)
    • PDA appears to be large in size as it is as large as the left pulmonary artery 
  • Patent Ductus Arterious 
    • Small PDA with continuous left to right shunting (red flow)
  • Patent Ductus Arteriosus
    • Spectral Doppler demonstrating continuous left to right high velocity shunting (Doppler pattern above the baseline) in a small PDA
  • Patent Ductus Arteriosus
    • Spectral Doppler of a large PDA with low velocity bidirectional shunting
      • Left to right flow in diastole (above baseline)
      • Right to left flow in systole (below baseline)

Echocardiographic Assessment: Parasternal Short Axis

  • PDA diameter (2D and color Doppler)
    • measurement of the 2D diameter of the PDA at its narrowest point, usually at the pulmonary end 
  • Direction of PDA shunting by color and spectral Doppler (left to right, right to left, bidirectional)
  • PDA peak velocity

  • Left sternal border
  • 3rd or 4th intercostal space
  • Notch pointing towards the left shoulder (1-2 o'clock)
  • Transducer tilted superiorly and medially
  • The ductal view is obtained by moving just out of the suprasternal notch (SSN) to the first left intercostal space.