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Reversible Congestive Heart Failure After Percutaneous Closure of a Large PDA in a 34-Year-Old Woman

Year 2010, Volume: 13 Issue: 2, 24 - 25, 01.02.2009

Abstract

Patent ductus arteriosus is a congenital heart disease which can cause chronic volume overload leading to congestive heart failure. A 34-year-old woman with rest dyspnea was found to have patent ductus arteriosus and echocardiogram revealed a markedly dilated left ventricle (8.9 cm) and severely-compromised left ventricle systolic functions (ejection fraction~24%). The patent ductus arteriosus was successfully closed percutaneously with Amplatzer occluder device. The patient was discharged on optimal dosages of ramipril, metoprolol, furosemide, spiranolactone and aspirin. On the follow-up after 18 months, the symptoms were found to have regressed and echocardiographic parameters improved (ejection fraction~55%).

References

  • 1. Ussia GP, Massimiliano M, Caruso E, Tamburino AR. Combined endothelin receptor antagonist and transcatheter interventional therapy of patent ductus arteriosus with severe pulmonary hypertension. Int J Cardiol 2007;116:427–29.
  • 2. Hokanson JS, Gimelli G, Bass JL. Percutaneous Closure of a Large PDA in a 35-Year-Old Man with Elevated Pulmonary Vascular Resistance. Cong Heart Dis 2008;3:149–54
  • 3. Yan C, Zhao S, Jiang S, Xu Z, Huang L, Zheng H, et al. Transcatheter closure of patent ductus arteriosus with severe pulmonary arterial hypertension in adults. Heart 2007;93:514–18
  • 4. Cheng V, Kazanagra R, Garcia A, Lenert L, Krishnaswamy P, Gardetto N, et al. A rapid bedside test for B-type peptide predicts treatment outcomes in patients admitted for decompensated heart failure: a pilot study. J Am Coll Cardiol 2001;37:386 –91.
  • 5. Dickstein K, Solal AC, Filippatos G, McMurray JJV, Ponikowski P, Poole-Wilson PA, et al. ESC Guidelines for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2008. Eur J Heart Fail. 2008;10:933-89

34 Yafl›ndaki Kad›n Hastada Genifl PDA'n›n Perkütan Yolla Kapat›lmas›yla Konjestif Kalp Yetersizli¤inin Gerilemesi

Year 2010, Volume: 13 Issue: 2, 24 - 25, 01.02.2009

Abstract

Konjenital bir kalp hastal›¤› olan patent duktus arteriyozus (PDA) kronik volüm yüküne ba¤l› olarak konjestif kalp yetersizli¤ine neden olabilmektedir. 34 yafl›nda istirahatde nefes darl›¤› olan bir kad›n hastada PDA ile ekokardiyografik olarak ileri derece dilate solventrikül (8.9 cm) ve bozulmufl sol ventrikül sistolik fonksiyonu saptad›k (ejeksiyon fraksiyon~24%). Patent duktus arteriyozus Amplatzer t›kay›c› alet ile baflar›l› bir flekilde kapat›ld›. Hasta optimum doz ramipril, metoprolol, furosemide, spiranolactone ve aspirin tedavisi ile taburcu edildi. 18 ayl›k takip sonucunda semptomlarda gerileme ve ekokardiyografik parametrelerde düzelme saptand›.

References

  • 1. Ussia GP, Massimiliano M, Caruso E, Tamburino AR. Combined endothelin receptor antagonist and transcatheter interventional therapy of patent ductus arteriosus with severe pulmonary hypertension. Int J Cardiol 2007;116:427–29.
  • 2. Hokanson JS, Gimelli G, Bass JL. Percutaneous Closure of a Large PDA in a 35-Year-Old Man with Elevated Pulmonary Vascular Resistance. Cong Heart Dis 2008;3:149–54
  • 3. Yan C, Zhao S, Jiang S, Xu Z, Huang L, Zheng H, et al. Transcatheter closure of patent ductus arteriosus with severe pulmonary arterial hypertension in adults. Heart 2007;93:514–18
  • 4. Cheng V, Kazanagra R, Garcia A, Lenert L, Krishnaswamy P, Gardetto N, et al. A rapid bedside test for B-type peptide predicts treatment outcomes in patients admitted for decompensated heart failure: a pilot study. J Am Coll Cardiol 2001;37:386 –91.
  • 5. Dickstein K, Solal AC, Filippatos G, McMurray JJV, Ponikowski P, Poole-Wilson PA, et al. ESC Guidelines for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2008. Eur J Heart Fail. 2008;10:933-89
There are 5 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Ramazan Karg›n This is me

Soe Moe Aung This is me

Ozkan Candan This is me

Nihal Ozdemir This is me

Yunus Emiro¤lu This is me

Publication Date February 1, 2009
Published in Issue Year 2010 Volume: 13 Issue: 2

Cite

APA Karg›n, R. ., Aung, S. M. ., Candan, O. ., Ozdemir, N. ., et al. (2009). 34 Yafl›ndaki Kad›n Hastada Genifl PDA’n›n Perkütan Yolla Kapat›lmas›yla Konjestif Kalp Yetersizli¤inin Gerilemesi. Koşuyolu Kalp Dergisi, 13(2), 24-25.
AMA Karg›n R, Aung SM, Candan O, Ozdemir N, Emiro¤lu Y. 34 Yafl›ndaki Kad›n Hastada Genifl PDA’n›n Perkütan Yolla Kapat›lmas›yla Konjestif Kalp Yetersizli¤inin Gerilemesi. Koşuyolu Kalp Dergisi. February 2009;13(2):24-25.
Chicago Karg›n, Ramazan, Soe Moe Aung, Ozkan Candan, Nihal Ozdemir, and Yunus Emiro¤lu. “34 Yafl›ndaki Kad›n Hastada Genifl PDA’n›n Perkütan Yolla Kapat›lmas›yla Konjestif Kalp Yetersizli¤inin Gerilemesi”. Koşuyolu Kalp Dergisi 13, no. 2 (February 2009): 24-25.
EndNote Karg›n R, Aung SM, Candan O, Ozdemir N, Emiro¤lu Y (February 1, 2009) 34 Yafl›ndaki Kad›n Hastada Genifl PDA’n›n Perkütan Yolla Kapat›lmas›yla Konjestif Kalp Yetersizli¤inin Gerilemesi. Koşuyolu Kalp Dergisi 13 2 24–25.
IEEE R. . Karg›n, S. M. . Aung, O. . Candan, N. . Ozdemir, and Y. . Emiro¤lu, “34 Yafl›ndaki Kad›n Hastada Genifl PDA’n›n Perkütan Yolla Kapat›lmas›yla Konjestif Kalp Yetersizli¤inin Gerilemesi”, Koşuyolu Kalp Dergisi, vol. 13, no. 2, pp. 24–25, 2009.
ISNAD Karg›n, Ramazan et al. “34 Yafl›ndaki Kad›n Hastada Genifl PDA’n›n Perkütan Yolla Kapat›lmas›yla Konjestif Kalp Yetersizli¤inin Gerilemesi”. Koşuyolu Kalp Dergisi 13/2 (February 2009), 24-25.
JAMA Karg›n R, Aung SM, Candan O, Ozdemir N, Emiro¤lu Y. 34 Yafl›ndaki Kad›n Hastada Genifl PDA’n›n Perkütan Yolla Kapat›lmas›yla Konjestif Kalp Yetersizli¤inin Gerilemesi. Koşuyolu Kalp Dergisi. 2009;13:24–25.
MLA Karg›n, Ramazan et al. “34 Yafl›ndaki Kad›n Hastada Genifl PDA’n›n Perkütan Yolla Kapat›lmas›yla Konjestif Kalp Yetersizli¤inin Gerilemesi”. Koşuyolu Kalp Dergisi, vol. 13, no. 2, 2009, pp. 24-25.
Vancouver Karg›n R, Aung SM, Candan O, Ozdemir N, Emiro¤lu Y. 34 Yafl›ndaki Kad›n Hastada Genifl PDA’n›n Perkütan Yolla Kapat›lmas›yla Konjestif Kalp Yetersizli¤inin Gerilemesi. Koşuyolu Kalp Dergisi. 2009;13(2):24-5.