A Case of Patent Ductus Arteriosus in an 88-Year-Old Patient

The patient was an 88-year-old woman. Chest X-rays revealed cardiomegaly, pulmonary congestion and pleural effusion. Electrocardiogram was sinus rhythm with STT changes. Transesophageal echocardiography showed the left ventricular ejection fraction 27% with pulmonary hypertension (67 mmHg). A shunt flow was noted from the descending aorta to the pulmonary artery with a Qp/Qs of 1.3. By day 7, the pleural effusion had dissipated. However, she later passed away. A literature search revealed that she is the oldest patient to be diagnosed with patent ductus arteriosus (PDA) by transesophageal echocardiography and that she is the third oldest reported case of PDA.

[1]  Y. Takanashi,et al.  Corrected transposition of the great arteries diagnosed in an 84-year-old woman. , 2001, The Journal of cardiovascular surgery.

[2]  S. Ohkawa,et al.  [A 98-year-old woman with syphilitic aortic regurgitation combined with systolic murmur and calcification of the pulmonary artery]. , 1997, Journal of cardiology.

[3]  W. Bussmann,et al.  Non-thoracotomy closure of persistent ductus arteriosus beyond age 60 years. , 1993, American Journal of Cardiology.

[4]  H. Gray,et al.  The clinical features, management and outcome of persistence of the arterial duct presenting in adult life. , 1990, International journal of cardiology.

[5]  D. Moodie,et al.  Patent ductus arteriosus in adults--long-term follow-up: nonsurgical versus surgical treatment. , 1986, Journal of the American College of Cardiology.

[6]  H. Smith,et al.  Patent ductus arteriosus in patients more than 50 years old. , 1986, International journal of cardiology.

[7]  J. Perloff.  Ostium secundum atrial septal defect--survival for 87 and 94 years. , 1984, The American journal of cardiology.

[8]  M. B. Matthews,et al.  Persistence of ductus arteriosus with left to right shunt in the older patient. , 1982, British heart journal.

[9]  G. Cherian,et al.  The adult ductus: review of surgical experience with 131 patients. , 1981, The Journal of thoracic and cardiovascular surgery.

[10]  J. Seward,et al.  Ebstein's anomaly in an 85-year-old man. , 1979, Mayo Clinic proceedings.

[11]  B. Goldman,et al.  Surgical Treatment of the Patent Ductus Arteriosus in the Adult , 1972, Annals of surgery.

[12]  P. D. White,et al.  Patency of the Ductus Arteriosus at 90 , 1969 .

[13]  M. Campbell.  Natural history of persistent ductus arteriosus. , 1968, British heart journal.

[14]  E. O. Theilen,et al.  Recognition of Congenital Heart Disease in the Fifth to Eighth Decades of Life: Diagnostic Criteria and Natural History , 1962, Circulation.

[15]  N. Nishida,et al.  Patent ductus arteriosus with infective endocarditis at age 92. , 2008, Internal medicine.

[16]  J. Kuvin,et al.  Uncorrected tetralogy of Fallot in an 86-year-old patient. , 2007, The American journal of geriatric cardiology.

[17]  H. Shibata,et al.  Congenital heart disease in forty years of age and over. Prevalence, relative incidence and clinical features. , 1975, Japanese circulation journal.

[18]  G. E. Twente,et al.  Patent ductus arteriosus , 2013 .