Endocarditis and bacterial brain abscess in a young woman with a single atrium, patent ductus arteriosus, and Eisenmenger syndrome

We report a case of multiple congenital anomalies in a female newborn infant, born to themother from a hill tribe. The Doppler echocardiography of the baby showed large atrial septaldefect amounting to single atrium, atretic left atrioventricular valve, large single right sidedventricle, aorta shifted to the left arising from single ventricle and diminutive hypoplasticleft ventricle. Right atrioventricular valve was normal forming single inlet into the ventricle.Pulmonary artery was small and hypoplastic and no antegrade fl ow was observed in it. Thepatient was diagnosed as having single ventricle, pulmonary atresia, patent ductus arteriosus(PDA) and major aortopulmonary collateral artery (MAPCA).DOI: http://dx.doi.org/10.3126/ajms.v6i4.7660Asian Journal of Medical Sciences Vol.6(4) 2015 96-98

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Eisenmenger Syndrome With Unrepaired Patent Ductus Arteriosus

Circulation ◽

10.1161/circulationaha.114.013810 ◽

2015 ◽

Vol 131 (16) ◽

Cited By ~ 3

Author(s):

John J. Ryan ◽

Promporn Suksaranjit ◽

Nathan Hatton ◽

David A. Bull ◽

Brent D. Wilson

Keyword(s):

Patent Ductus Arteriosus ◽

Ductus Arteriosus ◽

Eisenmenger Syndrome ◽

Patent Ductus

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Differential Clubbing and Cyanosis: Classic Signs of Patent Ductus Arteriosus With Eisenmenger Syndrome

Mayo Clinic Proceedings ◽

10.1016/j.mayocp.2013.02.016 ◽

2013 ◽

Vol 88 (9) ◽

pp. e105-e106 ◽

Cited By ~ 2

Author(s):

Sunil Kumar Srinivas ◽

Cholenahally Nanjappa Manjunath

Keyword(s):

Patent Ductus Arteriosus ◽

Ductus Arteriosus ◽

Eisenmenger Syndrome ◽

Patent Ductus

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Patent Ductus Arteriosus with Eisenmenger Syndrome

Heart Lung and Circulation ◽

10.1016/j.hlc.2013.03.071 ◽

2013 ◽

Vol 22 (11) ◽

pp. 968-969

Author(s):

Sherif Moustafa ◽

David J. Patton ◽

Yvonne Balon ◽

Michael S. Connelly ◽

Nanette Alvarez

Keyword(s):

Patent Ductus Arteriosus ◽

Ductus Arteriosus ◽

Eisenmenger Syndrome ◽

Patent Ductus

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Right pulmonary artery agenesis with patent ductus arteriosus and Eisenmenger syndrome: A rare case diagnosed during the postpartum period

Heart & Lung ◽

10.1016/j.hrtlng.2014.04.009 ◽

2014 ◽

Vol 43 (4) ◽

pp. 363-366 ◽

Cited By ~ 3

Author(s):

Mehtap Beker-Acay ◽

Gulay Ozkececi ◽

Ebru Unlu ◽

Elif Hocaoglu ◽

Emre Kacar ◽

...

Keyword(s):

Pulmonary Artery ◽

Patent Ductus Arteriosus ◽

Postpartum Period ◽

Rare Case ◽

Ductus Arteriosus ◽

Eisenmenger Syndrome ◽

Right Pulmonary Artery ◽

Pulmonary Artery Agenesis ◽

Patent Ductus

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Transcatheter closure for patent ductus arteriosus in patients with Eisenmenger syndrome: to do or not?

10.21203/rs.3.rs-35445/v1 ◽

2020 ◽

Author(s):

Jing Xu ◽

Liang Wang ◽

Yunli Shen ◽

Liang Geng ◽

Fadong Chen

Keyword(s):

Patent Ductus Arteriosus ◽

Transcatheter Closure ◽

Ductus Arteriosus ◽

Systolic Pressure ◽

Walking Distance ◽

Pulmonary Artery Systolic Pressure ◽

Targeted Drugs ◽

Eisenmenger Syndrome ◽

Repair Strategy ◽

Patent Ductus

Abstract Background Patent ductus arteriosus (PDA) complicated by Eisenmenger syndrome (ES) remains to be a major cause of morbidity and mortality worldwide. Giving increasing evidence of benefit from targeted drug therapies, ES patients once thought to be inoperable may have increasing options for management. This study aims to explore whether the PDA in patients with ES can be treated with transcatheter closure (TCC).Methods Between August 2014 and July 2016, four out of fifteen PDA-ES patients whose Qp/Qs improved significantly and Qp/Qs > 1.5 after acute vasodilator testing with 100% oxygen were selected to receive TCC by diagnostic treatment and repair strategy. PAH-targeted drugs were prescribed before and after occlusion for all patients. Trial occlusion was performed before permanent closure.Results The first TCC failed after the initiation of PAH-targeted drugs for 6 months in four patients. After the medication was adjusted and extended to 12 months, TCC was performed for all without hemodynamic intolerances during perioperative period. Pulmonary artery systolic pressure (PASP) was significantly decreased (≥ 40%) immediately after TCC. During the follow-up period, there was a further decrease of PASP in two patients, the other two showed improved WHO functional class and six-minute walking distance although a worsening PASP.Conclusion Some selected PDA-ES patients with PVR < 15Wood U and Qp/Qs > 1.5 at baseline might benefit from TCC by diagnostic treatment and repair strategy and uninterrupted combination of PAH-targeted drugs pre- and post-occlusion play a crucial role.

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