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The ligamentum arteriosum plays a role in major trauma. It fixes the aorta in place during abrupt motions, consequently potentially resulting in a ruptured aorta. Such ruptures are very rare. If the ductus arteriosus fails to close after birth, a condition known as patent ductus arteriosus can develop. This is a fairly common birth defect.
The ductus arteriosus, also called the ductus Botalli, named after the Italian physiologist Leonardo Botallo, is a blood vessel in the developing fetus connecting the trunk of the pulmonary artery to the proximal descending aorta. It allows most of the blood from the right ventricle to bypass the fetus's fluid-filled non-functioning lungs.
Within the first day the ductus arteriosus usually starts clamping shut, and within 3 weeks, it’s completely closed off and turned into the ligamentum arteriosum. If that ductus arteriosus doesn’t close off, then the baby is left with a patent ductus arteriosus, and this condition accounts for about 10% of all congenital heart defects, of ...
Compared to infantile coarctation, in this type there usually isn’t a patent ductus arteriosus, and instead it’s been long since closed off and is now known as the ligamentum arteriosum. The coarctation usually happens in adults just distal to this ligament.
The tethering of the aorta by the ligamentum arteriosum makes the site prone to shearing forces during sudden deceleration. [8] A study of people who died after traumatic aortic rupture found that in 55–65% of cases the damage was at the aortic isthmus and in 10–14% it was in the ascending aorta or aortic arch. [4]
As the left ventricle of the heart increases in size throughout life, the narrowing eventually dilates to become a normal size. If this does not occur, this can result in coarctation of the aorta. [14] [15] The ductus arteriosus connects to the final section of the arch in foetal life.
Almost immediately after the infant is born, the foramen ovale and ductus arteriosus close. The major changes that are made by the body occur at the first breath (in the case of heart and lung functions) and up to weeks after birth (such as the liver's enzyme synthesis). The foramen ovale becomes the fossa ovalis as the foramen closes while ...
It is one of two fetal cardiac shunts, the other being the ductus arteriosus (which allows blood that still escapes to the right ventricle to bypass the pulmonary circulation). Another similar adaptation in the fetus is the ductus venosus. In most individuals, the foramen ovale closes at birth. It later forms the fossa ovalis.