RESUMEN
No abstract available.
Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Adenocarcinoma/patología , Biopsia , Quimioterapia Adyuvante , Colectomía , Neoplasias del Colon/patología , Colonoscopía , Leucemia Linfocítica Crónica de Células B/diagnóstico por imagen , Neoplasias Primarias Múltiples/diagnóstico por imagen , Tomografía de Emisión de Positrones , Valor Predictivo de las Pruebas , Resultado del TratamientoRESUMEN
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.
Asunto(s)
Adulto , Femenino , Humanos , Persona de Mediana Edad , Hipoxia , Aorta , Valvuloplastia con Balón , Conducto Arterioso Permeable , Foramen Oval Permeable , Mano , Cardiopatías , Insuficiencia Cardíaca , Hipertrofia Ventricular Derecha , Oxígeno , Arteria Pulmonar , Circulación Pulmonar , Válvula Pulmonar , Estenosis de la Válvula PulmonarRESUMEN
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.