Unusual Presentation of Patent Ductus Arteriosus in Elderly Patient

• Published in: Revista brasileira de cirurgia cardiovascular Vol. 35; no. 6; pp. 35 - 36
• Main Authors: Micovic, Slobodan V, Nesic, Ivan M, Milicic, Miroslav D, Vukovic, Petar M
• Format: Journal Article
• Language: English
• Published: Brazil Sociedade Brasileira de Cirurgia Cardiovascular 01-01-2020
• Subjects: Adult Patient; Adults; Aged; Aneurysms; CARDIAC & CARDIOVASCULAR SYSTEMS; Cardiology; Case Report; Chronic illnesses; Congenital diseases; Coronary vessels; Diagnostics; Disease; Ductus Arteriosus; Ductus Arteriosus, Patent - diagnosis; Ductus Arteriosus, Patent - diagnostic imaging; Ductus Arteriosus, Patent - surgery; Echocardiography; Endocarditis; Heart failure; Heart surgery; Humans; Male; Middle Aged; Older people; Patent Ductus Arteriosus; Pulmonary arteries; Pulmonary Artery; SURGERY; Unusual Localization; Veins & arteries; Weaning; Adult Patient; Unusual Localization; Diagnostics; Patent Ductus Arteriosus
• ISSN: 1678-9741; 0102-7638; 1678-9741
• DOI: 10.21470/1678-9741-2019-0124

We presented a case of a 56-year-old man with giant pulmonary artery aneurysm caused by a misdiagnosed patent ductus arteriosus, severe multivalvular disease and active aortic valve endocarditis successfully treated by surgery. The correct diagnosis was missed despite preoperative diagnostics because the small patent ductus arteriosus was located at the distal part of common pulmonary trunk and a huge regurgitant signal overlapped its Doppler signal. Thorough evaluation of every patient, regardless of age, is necessary to recognize and treat this congenital anomaly.