Korean J Med.  2013 Oct;85(4):406-410.

A Case of Asymptomatic Severe Pulmonary Valve Stenosis with Patent Foramen Ovale and Patent Ductus Arteriosus in an Adult

Affiliations
  • 1Division of Cardiology, Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. hhhsungho@naver.com

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.

Keyword

Pulmonary valve Stenosis; Patent foramen ovale; Patent ductus arteriosus

MeSH Terms

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
Oxygen
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