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KMID : 0882420130850040406
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Korean Journal of Medicine
2013 Volume.85 No. 4 p.406 ~ p.410
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A Case of Asymptomatic Severe Pulmonary Valve Stenosis with Patent Foramen Ovale and Patent Ductus Arteriosus in an Adult
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Kim Seon-A
Her Sung-Ho
Park Mahn-Won
Na Soo-Jin
Kim Hyung-Duk
Kim Ji-Eun
Kim Woo-Hyeon
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Abstract
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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.
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KEYWORD
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Pulmonary valve Stenosis, Patent foramen ovale, Patent ductus arteriosus
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