A Case of Patent Ductus Arteriosus with Eisenmenger Syndrome Treated by Ligation of PDA.
- Author:
Chang Seon YOO
1
;
Hae Yong LEE
;
Mee Kyung NAMGOONG
;
Jong Soo KIM
;
Mee Yon CHO
;
Joong Hwan OH
Author Information
1. Department of Pediatrics, Yonsei University, Wonju College of Medicine, Wonju, Korea.
- Publication Type:Original Article
- Keywords:
Eisenmenger syndrome;
Patent ductus arteriosus
- MeSH:
Arterial Pressure;
Cardiac Catheterization;
Cardiac Catheters;
Ductus Arteriosus, Patent*;
Eisenmenger Complex*;
Heart Defects, Congenital;
Humans;
Ligation*;
Oxygen;
Vascular Diseases;
Vascular Resistance
- From:Journal of the Korean Pediatric Society
1995;38(2):257-263
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We experienced a case of eisenmenger syndrome treated by simple surgical intervention. Eisenmenger syndrome refers to patients with congenital heart defects who have a systemic level of pulmonary arterial pressure and high pulmonary vascular resistance, with right-to-left or bidirectional shunting. Because a progressive rise in pulmonary vascular resistance may be better tolerated with an intracardiac communication, surgical repair in such patients may shorthen their life. But, urgent surgical intervention should be undertaken to reverse process if the pulmonary vascular disease is of recent origin. Patients who respond to vasoilator therapy, such as oxygen, are subjected to surgery. We reported a case of PDA with eisenmenger syndrome whose pulmonary vascular resistance fall following vasodilator, 100% oxygen, and closure of defect during cardiac catheterization, preoperatively, and who may faborable after simple surgical repair.
