Patent Ductus Arteriosus

This is an example of patent ductus arteriosus heard at the pulmonic position. Before birth, the two major arteries—the aorta and the pulmonary artery—are connected by a blood vessel called the ductus arteriosus. Shortly after birth the patent ductus closes and turns into a ligament. However, in certain abnormal circumstances the patent ductus remains open allowing blood to flow from the aorta into the pulmonary artery causing a strain on the right ventricle. The first heart sound is normal. The second heart sound is obscured by a continuous crescendo-decrescendo murmur which runs from the beginning of systole to the end of diastole peaking at the second heart sound. In the anatomy video you can see an enlarged left atrium and left ventricle and turbulent blood flow from the aorta to the pulmonary artery through the patent ductus.

Auscultation Audio

Patient Sounds

Half Speed Patient Sounds

Technique

The patient's position should be supine.

Auscultation Tips

Systole:Crescendo-decrescendo murmur, peaking late systole
S2:Obscured
Diastole:Crescendo-decrescendo murmur continuing from systole

Sound Wave

Observe Cardiac Animation

Notice an enlarged left atrium and left ventricle and turbulent blood flow from the aorta to the pulmonary artery through the patent ductus in this cardiac animation.

Authors and Sources