A Case of Asymptomatic Severe Pulmonary Valve Stenosis with Patent Foramen Ovale and Patent Ductus Arteriosus in an Adult.
- Author:
Seon A KIM
1
;
Sung Ho HER
;
Mahn Won PARK
;
Soo Jin NA
;
Hyung Duk KIM
;
Ji Eun KIM
;
Woo Hyeon KIM
Author Information
1. Division of Cardiology, Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. hhhsungho@naver.com
- Publication Type:Case Report
- Keywords:
Pulmonary valve Stenosis;
Patent foramen ovale;
Patent ductus arteriosus
- MeSH:
Adult;
Anoxia;
Aorta;
Balloon Valvuloplasty;
Ductus Arteriosus, Patent;
Female;
Foramen Ovale, Patent;
Hand;
Heart Diseases;
Heart Failure;
Humans;
Hypertrophy, Right Ventricular;
Middle Aged;
Oxygen;
Pulmonary Artery;
Pulmonary Circulation;
Pulmonary Valve;
Pulmonary Valve Stenosis
- From:Korean Journal of Medicine
2013;85(4):406-410
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pulmonary valve stenosis (PS) is the 3rd most common form of adult congenital heart disease. The patient was a 56-year-old woman, with known congenital heart disease but who was not receiving any treatment as she was not functionally limited. A two-dimensional echocardiogram showed severe right ventricular hypertrophy, pulmonary valve thickening and systolic doming. A color Doppler revealed a retrograde flow from the aorta to the left pulmonary artery. She had severe heart failure on the right hand side from a PS but did not display any symptoms. We hypothesized that she had a retrograde flow to the pulmonary circulation through a patent ductus arteriosus (PDA), through which oxygenated blood could be supplied to the systemic circulation and, hence, no hypoxia. We attempted a balloon valvuloplasty for the PS followed by a device closure for the PDA. Here we report on this adult female with severe PS but lacking any symptoms, due to the presence of a PDA.
