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Operable patent ductus arteriosus even with differential cyanosis: a case of patent ductus arteriosus and mitral stenosis

Published online by Cambridge University Press:  27 June 2017

Anunay Gupta  and
Shyam S. Kothari
Anunay Gupta
Affiliation:
Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India
Shyam S. Kothari*
Affiliation:
Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India
*
Correspondence to: Dr S. S. Kothari, Professor of Cardiology, All India Institute of Medical Sciences, New Delhi, 110029, India. Tel: 911126584419; Fax: +91 112 658 8663; E-mail: [email protected]
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Abstract

Patients with patent ductus arteriosus and significant left-to-right shunt develop Eisenmenger syndrome at an early age and are not operable after development of irreversible pulmonary artery hypertension. Patients with mitral stenosis, however, are treatable even with suprasystemic pulmonary artery pressures. A combination of these two lesions is rare. We document a patient with differential cyanosis who improved after corrective surgery of both the lesions. The importance of post-capillary pulmonary artery hypertension in shunt lesions needs to be better appreciated.

Keywords

Patent ductus arteriosusmitral stenosispulmonary artery hypertension
Type
Brief Report
Information
Cardiology in the Young , Volume 27 , Issue 9 , November 2017 , pp. 1845 - 1848
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Copyright
© Cambridge University Press 2017 

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