Document Type : Case Report
1 Associate Professor, Cardiovascular Diseases Research Center AND Department of Cardiac Surgery, Birjand University of Medical Sciences, Birjand, Iran
2 Assistant Professor, Department of Anesthesiology, Birjand University of Medical Sciences, Birjand, Iran
BACKGROUND: Although patent ductus arteriosus (PDA) is more prevalent among infants and children, it might be seen among adults as well. It is not usually seen among adults, since it is often diagnosed and treated in childhood.CASE REPORT: In the present case, a 73-year-old man referred to the hospital with symptoms including dyspnea, cold sweating, and chest pain with a burning nature which was lasting for 30 minutes. Angiography revealed coronary artery obstruction, so he became a coronary artery bypass grafting (CABG) candidate. Except for dilatation of the left atrium, no specific findings were reported in the patient's echocardiography report. When the pump was turned off by the surgeon, the patient’s heart filled up and he was not able to get off the pump. Simultaneously, the patient started to have bloody respiratory secretions. With all that in mind, the surgeon suspected that he might suffer from a PDA, then he found an 8-mm PDA and closed it. Then, the patient was taken off the cardiorespiratory pump.CONCLUSION: Although PDA is more common among children and infants, it can be found among adults according to previous cases and our case as well. Since patients with PDA refer to physicians for other clinical issues, it is recommended to apply more precision in diagnostic methods such as taking a good history, echocardiography, and electrocardiogram (ECG). Moreover, it is recommended that if a patient has conditions similar to our patient, the surgeon must be sure of a possible PDA.
- Wiyono SA, Witsenburg M, de Jaegere PP, Roos-Hesselink JW. Patent ductus arteriosus in adults: Case report and review illustrating the spectrum of the disease. Neth Heart J 2008; 16(7-8): 255-9.
- Mueller S, Plank F, Klimes K, Feuchtner G, Mair J. Adult patent ductus arteriosus : An unusual cause of heart failure in an octogenarian female. Wien Klin Wochenschr 2016; 128(23-24): 925-7.
- Korejo HB, Shaikh AS, Sohail A, Chohan NK, Kumari V, Asif Khan M, et al. Predictors for left ventricular systolic dysfunction and its outcome
- after patent Ductus Arteriosus (Pda) closure by device. Int J Cardiovasc Res 2018; 7(1): 1-4.
- Matsumoto T, Tamiya E, Yamamoto S, Kamiyama T, Kuremoto KI, Takabe T, et al. A case of patent Ductus Arteriosus in an 88-year-old patient. J Cardiovasc Dis Diagn 2018; 6(3): 319.
- Rafal Poliwczak A, Kozirog M, Zabielska J, Bala A, Lipiec P, Broncel M. Persistent ductus arteriosus in a 72-year-old woman with paroxysmal atrial fibrillation and depression syndrome: A therapeutic and diagnostic problem. Arch Med Sci 2011; 7(5): 914-7.
- Akintunde AA, Opadijo OG. Case report of a 26 year old primigravida with patent ductus arteriosus (PDA) in heart failure. Afr Health Sci 2011; 11(1): 138-40.
- Lee HY, Her SH, Park MW, Choi MS, Cho JS, Kim CJ, et al. A case of patent ductus arteriosus with congestive heart failure in a 80-year-old man. Korean Circ J 2012; 42(12): 849-52.
- Hesarur V, Patted SV, Porwal S, Ambar S, Prasad MR. A rare case of congenital rubella syndrome. Journal of Indian College of Cardiology 2018; 8(2): 99-101.
- Takata H, Higaki T, Sugiyama H, Kitano M, Yamamoto E, Nakano T, et al. Long-term outcome of coil occlusion in patients with patent ductus arteriosus. Circ J 2011; 75(2): 407-12.
- Jatene MB, Soares Abuchaim DC, Tivaron MG, TanamatiI C, Miura N, Riso A, et al. Surgical treatment of patent ductus arteriosus in adults. Rev Bras Cir Cardiovasc 2011; 26(1): 93-7.