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Percutaneous balloon pulmonary valvuloplasty in a young lady with coexisting repaired patent ductus arteriosus
  1. Pranab Jyoti Bhattacharyya,
  2. Arun Kumar Yadav and
  3. Kumar Pankaj Prabhat
  1. Department of Cardiology, Gauhati Medical College and Hospital, Guwahati, India
  1. Correspondence to Professor Pranab Jyoti Bhattacharyya; drpranabguwahati{at}gmail.com

Abstract

An asymptomatic woman aged 24 years was informed about the presence of a heart murmur by her attending obstetrician while she was hospitalised for a spontaneous abortion 6 months ago and was subsequently referred to us to rule out underlying heart disease. After clinical examination and relevant laboratory evaluation, a diagnosis of severe valvular pulmonary stenosis (PS) was established. Interestingly, our patient had undergone an open thoracotomy for surgical closure of a patent ductus arteriosus (PDA) under general anaesthesia 12 years ago in the absence of any appreciable shunt across the ligated ductus at present. Considering the severe gradient across her pulmonary valve, she underwent a successful percutaneous balloon pulmonary valvuloplasty (PBPV) procedure with excellent haemodynamic outcome. The pertinent literature concerning the rare combination of PDA in association with PS as well as the technicalities of PBPV procedure in an adult are discussed.

  • interventional cardiology
  • cardiovascular medicine
  • valvar diseases

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Footnotes

  • Contributors PJB, AKY and KPP were involved in patient management. PJB prepared the manuscript and performed the interventional procedure. All authors have revised the manuscript and approved of the final draft.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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