RESUMO
No abstract available.
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Adenocarcinoma/patologia , Biópsia , Quimioterapia Adjuvante , Colectomia , Neoplasias do Colo/patologia , Colonoscopia , Leucemia Linfocítica Crônica de Células B/diagnóstico por imagem , Neoplasias Primárias Múltiplas/diagnóstico por imagem , Tomografia por Emissão de Pósitrons , Valor Preditivo dos Testes , Resultado do TratamentoRESUMO
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.
Assuntos
Adulto , Feminino , Humanos , Pessoa de Meia-Idade , Hipóxia , Aorta , Valvuloplastia com Balão , Permeabilidade do Canal Arterial , Forame Oval Patente , Mãos , Cardiopatias , Insuficiência Cardíaca , Hipertrofia Ventricular Direita , Oxigênio , Artéria Pulmonar , Circulação Pulmonar , Valva Pulmonar , Estenose da Valva PulmonarRESUMO
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.