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Multiple Patent Ductus Arteriosus in an Adult: A Case Report

فصلنامه بین المللی تحقیقات پزشکی، دوره: 10، شماره: 2
Year: 1400
COI: JR_INTJMI-10-2_019
Language: EnglishView: 29
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Lajpat Rai - Postgraduate Trainee, Jinnah Postgraduate Medical Centre, Karachi, Pakistan
Uzair Yaqoob - ‎House officer, Jinnah Postgraduate Medical Centre, Karachi, Pakistan. ‎
Waleed Azam - Postgraduate Trainee, National institute of cardiovascular diseases, Karachi, ‎Pakistan
Hanisha Khemani - Postgraduate Trainee, Jinnah Postgraduate Medical Centre, Karachi, Pakistan
Faizan ul-Haq - Resident medical officer, Tabba Heart institute, Karachi, Pakistan. ‎


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 ۴۶ 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 ۵۰-years-old female presented with shortness of breath and palpitations ‎since one month. Symptoms first started in ۲۰۰۲ and PDA was diagnosed in ۲۰۱۴. 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.‎


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Rai, Lajpat and Yaqoob, Uzair and Azam, Waleed and Khemani, Hanisha and ul-Haq, Faizan,1400,Multiple Patent Ductus Arteriosus in an Adult: A Case Report,

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  • Schneider DJ, Moore JW. Patent ductus arteriosus. Circulation. ۲۰۰۶;۱۱۴:۱۸۷۳–۸۲ ...
  • Forsey JT, Elamsry QA, Martin RP. Patent arterial duct. Orphanet ...
  • Campbell M. Natural history of patent ductus arteriosus. Br Heart ...
  • Mueller S, Plank F, Klimes K, Feuchtner G, Mair J. ...
  • Ross JC, Hufnagel CA, Fries ED, Harvey WP, Partenope EA. ...
  • Cassidy HD, Cassidy LA, Blackshear JL. Incidental discovery of a ...
  • Celermajer DS, Hughes CF, Baird DK, Sholler GF. Persistent ductus ...
  • Zhang CJ, Huang YG, Huang XS, Huang T, Huang WH, ...
  • Fischer G, Stiech J, Uebing A, et al. Transcatheter closure ...
  • Hong TE, Hellenbrand WE, Hijazi ZM. Transcatheter closure of patent ...
  • Du W, Hu JG, Zhou XM. Surgical treatment for ductus ...

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