ABSTRACT
No abstract available.
Subject(s)
Humans , Male , Middle Aged , Adenocarcinoma/pathology , Biopsy , Chemotherapy, Adjuvant , Colectomy , Colonic Neoplasms/pathology , Colonoscopy , Leukemia, Lymphocytic, Chronic, B-Cell/diagnostic imaging , Neoplasms, Multiple Primary/diagnostic imaging , Positron-Emission Tomography , Predictive Value of Tests , Treatment OutcomeABSTRACT
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.
Subject(s)
Adult , Female , Humans , Middle Aged , Hypoxia , Aorta , Balloon Valvuloplasty , Ductus Arteriosus, Patent , Foramen Ovale, Patent , Hand , Heart Diseases , Heart Failure , Hypertrophy, Right Ventricular , Oxygen , Pulmonary Artery , Pulmonary Circulation , Pulmonary Valve , Pulmonary Valve StenosisABSTRACT
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.