Coarctation of the Aorta and a Parachute Mitral Valve in an Adult With Differential Cyanosis

Differential cyanosis may occur in Eisenmenger physiology in the presence of a patent ductus arteriosus (PDA). We present a unique case of a 22-year-old male manifesting as cyanosis of the left upper extremity and both lower extremities, but with preservation of the right upper extremity. Work-up re...

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Detalles Bibliográficos
Autores principales: Aherrera, Jaime Alfonso M., Abola, Ma. Teresa B., Magno, Jose Donato A., Sta. Maria, Ma. Helga F., Abrahan, Lauro L., Tiongco, Richard Henry P., Anonuevo, John C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elmer Press 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5295559/
https://www.ncbi.nlm.nih.gov/pubmed/28197231
http://dx.doi.org/10.14740/cr378w
Descripción
Sumario:Differential cyanosis may occur in Eisenmenger physiology in the presence of a patent ductus arteriosus (PDA). We present a unique case of a 22-year-old male manifesting as cyanosis of the left upper extremity and both lower extremities, but with preservation of the right upper extremity. Work-up revealed multiple congenital defects, reminiscent of the Shone’s complex. Survival into adulthood is presumed to be due to a PDA, at the expense of a right-to-left shunt. This report highlights the interplay of multiple anomalies documented on echocardiography and MRI, wherein diagnosis was made non-invasively.

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