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Malpositioned patent ductus arteriosus closure device

Imaging findings

Chest radiograph and CT show a patent ductus arteriosus Amplatzer-type closure device abnormally rotated and located entirely within the left pulmonary artery rather than spanning the ductus lumen, resulting in a persistent left-to-right shunt.

Key takeaways

Patent ductus arteriosus closure devices can migrate or malposition, especially in the setting of a short, broad ductus. Recognition of abnormal device orientation on chest radiographs (such as the broader aortic disc pointing anteriorly) can suggest malposition in the left pulmonary artery.

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