International Journal of Medical Investigation
Thu, Dec 26, 2024
Volume 10, Issue 2 (7-2021)
Int J Med Invest 2021, 10(2): 194-198 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Rai L, Yaqoob U, Azam W, Khemani H, ul-Haq F. Multiple Patent Ductus Arteriosus in an Adult: A Case Report. Int J Med Invest 2021; 10 (2) :194-198
URL: http://intjmi.com/article-1-643-en.html
URL: http://intjmi.com/article-1-643-en.html
House officer, Jinnah Postgraduate Medical Centre, Karachi, Pakistan.
Abstract: (2697 Views)
Background: Patent ductus arteriosus (PDA) is one of the most common congenital heart defects. It is usually diagnosed and treated soon after birth with only a few appearing in adults. Here we present a case of PDA with calcifications diagnosed at the age of 46 years. Cardiological experts suspected multiple PDAs in this patient which can be the only case to have appeared since we did not find any in the existing literature.
Case Presentation: A 50-years-old female presented with shortness of breath and palpitations since one month. Symptoms first started in 2002 and PDA was diagnosed in 2014. Family history is positive for cardiovascular diseases. Echocardiography done in our setup showed PDA with low pressure along with left ventricular dilation and reduced ejection fraction. Electrocardiogram showed atrial fibrillation. She went for transcatheter closure of PDA but was abandoned due to calcifications and multiple PDAs. She was then discharged on medications and called for follow-up for referral to surgical department but the patient refused to have any further intervention.
Conclusion: This occurrence of PDA at this stage of life shows the lack of resources in various parts of our developing country. All required investigations should be done at their appropriate time according to signs and symptoms so that each case is managed appropriately.
Case Presentation: A 50-years-old female presented with shortness of breath and palpitations since one month. Symptoms first started in 2002 and PDA was diagnosed in 2014. Family history is positive for cardiovascular diseases. Echocardiography done in our setup showed PDA with low pressure along with left ventricular dilation and reduced ejection fraction. Electrocardiogram showed atrial fibrillation. She went for transcatheter closure of PDA but was abandoned due to calcifications and multiple PDAs. She was then discharged on medications and called for follow-up for referral to surgical department but the patient refused to have any further intervention.
Conclusion: This occurrence of PDA at this stage of life shows the lack of resources in various parts of our developing country. All required investigations should be done at their appropriate time according to signs and symptoms so that each case is managed appropriately.
Keywords: Patent Ductus Arteriosus, Adult, Multiple PDA, Palpitation, Congenital Heart Disease, Dyspnea
Type of Study: case report |
Subject:
General
References
1. 1. Schneider DJ, Moore JW. Patent ductus arteriosus. Circulation. 2006;114:1873–82.
2. Forsey JT, Elamsry QA, Martin RP. Patent arterial duct. Orphanet J Rare Dis. 2009;4:17
3. van de Sandt FM, Boekholdt SM, Bouma BJ, Groenink M, Backx AP, Koolbergen DR, de Winter RJ, Mulder BJ. Patent ductus arteriosus in adults–indications and possibilities for closure. Neth Heart J. 2011;19(6):297-300.
4. Campbell M. Natural history of patent ductus arteriosus. Br Heart J. 1968;30:4-13
5. The Criteria Committee of the New York Heart Association, Inc.: Diseases of the Heart and Blood Vessels; Nomenclature and Criteria for Diagnosis, 6th ed. Boston, Little, Brown, 1964.
6. Mueller S, Plank F, Klimes K, Feuchtner G, Mair J. Adult patent ductus arteriosus. Wiener klinische Wochenschrift. 2016;128(23-24):925-7.
7. Ross JC, Hufnagel CA, Fries ED, Harvey WP, Partenope EA. The hemodynamic alterations produced by plastic valvular prosthesis for severe aortic insufficiency in man. J Clin Invest. 1954;33(6):891–900
8. Qu H, Liu T, Wang H, Wang D, Li Q. Adult left-ventricular diverticulum and patent ductus arteriosus misdiagnosed as coronary artery disease with infarct aneurysm: a case report. BMC cardiovascular disorders. 2015;15(1):149.
9. Cassidy HD, Cassidy LA, Blackshear JL. Incidental discovery of a patent ductus arteriosus in adults. J Am Board Fam Med. 2009; 22(2):214-8.
10. Celermajer DS, Hughes CF, Baird DK, Sholler GF. Persistent ductus arteriosus in adults A review of surgical experience with 25 patients. Medical journal of Australia. 1991;155(4):233-6.
11. Zhang CJ, Huang YG, Huang XS, Huang T, Huang WH, Xia CL, Mo YJ. Transcatheter closure of large patent ductus arteriosus with severe pulmonary artery hypertension in adults: immediate and two year followup results. Chin Med J (Engl). 2012:125(21):3844-50
12. Putra ST, Djer MM, Idris NS, Sastroasmoro S. Transcatheter closure of patent ductus arteriosus in adolescents and adults: a case series. Acta Med Indones. 2016;48(4):314-9.
13. Fischer G, Stiech J, Uebing A, et al. Transcatheter closure of persistent ductus arteriosus in infants using the Amplazer duct occluder. Heart. 2001;86:444-7
14. Gross RE, Hubbard JP. Surgical ligation of patent ductus arteriosus. Repostt first successful case. JAMA.1939;112:729-73.
15. Hong TE, Hellenbrand WE, Hijazi ZM. Transcatheter closure of patent ductus arteriosus in adults using the Amplatzer duct occlude: initial results and follow up. Indian Heart J. 2002;54(4):384-9.
16. Du W, Hu JG, Zhou XM. Surgical treatment for ductus arterious in patients 30 years old or above. Hunan Yi Ke Da Xue Xue Bao 2003; 28(1): 90-2
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
