J Cardiovasc Ultrasound.  2008 Sep;16(3):90-92. 10.4250/jcu.2008.16.3.90.

A Case with Patent Ductus Arteriosus Complicated by Pulmonary Artery Endarteritis

• Choi KN
• Yang TH
• Park BS
• Jun HJ
• Um SJ
• Seol SH
• Kim SM
• Kim DK
• Kim DI
• Kim DS

• KMID: 1486585
• DOI: http://doi.org/10.4250/jcu.2008.16.3.90

Abstract

Infective endarteritis in the pulmonary artery is unusual. However, congenital heart disease such as patent ductus arteriosus (PDA) could be a predisposing factor of infective endarteritis. We report a patient with PDA complicated by infective endarteritis and large pulmonary artery vegetation. After three weeks of antibiotic treatment, the patient underwent surgical closure of the PDA and removal of the vegetation.

Keyword

Patent ductus arteriosus; Infective endarteritis; Vegetation

MeSH Terms

Ductus Arteriosus, Patent
Endarteritis
Heart Diseases
Humans
Pulmonary Artery

Figure

• 

  Fig. 1 Suprasternal notch view of the transthoracic echocardiography shows a defect between the descending thoracic aorta and the main pulmonary artery (solid arrow) and a hypoechogenic multilobulated vegetation on the wall of the main pulmonary artery (dotted arrow). Ao: aorta, PA: pulmonary artery.

• 

  Fig. 2 Transesophageal echocardiography shows a turbulent blood flow from the aortic arch to the main pulmonary artery via patent ductus arteriosus (solid arrow) and hypoechogenic multilobulated vegetations attached to wall of the main pulmonary artery (dotted arrow). Ao: aorta, PA: pulmonary artery.

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