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A case report on the successful interventional treatment of a rare cause of left heart failure in a 69-year-old woman

BACKGROUND : Dyspnoea is very common in elderly patients and can be caused by a variety of different diseases. However, the initial diagnosis of patent ductus arteriosus (PDA) as a cause of left heart failure is very rare in this patient population. CASE SUMMARY : A 69-year-old physically active wom...

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Autores principales: Podnar, Tomaz, Plank, Fabian, Müller, Silvana, Mair, Johannes
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7891253/
https://www.ncbi.nlm.nih.gov/pubmed/33628999
http://dx.doi.org/10.1093/ehjcr/ytaa440
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author Podnar, Tomaz
Plank, Fabian
Müller, Silvana
Mair, Johannes
author_facet Podnar, Tomaz
Plank, Fabian
Müller, Silvana
Mair, Johannes
author_sort Podnar, Tomaz
collection PubMed
description BACKGROUND : Dyspnoea is very common in elderly patients and can be caused by a variety of different diseases. However, the initial diagnosis of patent ductus arteriosus (PDA) as a cause of left heart failure is very rare in this patient population. CASE SUMMARY : A 69-year-old physically active woman with known hypertension presented with worsening exertional dyspnoea. Echocardiography showed a dilated left ventricle with moderately reduced left ventricular ejection fraction, and evidence for PDA. The PDA was confirmed by computed tomography angiography and successfully closed by implantation of an Amplatzer PDA occluder II 06-06 mm. As a result, the heart failure symptoms receded completely. DISCUSSION : Congenital heart diseases should be considered as heart failure causes even in older adults. In addition to the standard medical therapy, there may be effective interventional treatment options to reverse the symptoms of heart failure in such patients.
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spelling pubmed-78912532021-02-23 A case report on the successful interventional treatment of a rare cause of left heart failure in a 69-year-old woman Podnar, Tomaz Plank, Fabian Müller, Silvana Mair, Johannes Eur Heart J Case Rep Case Reports BACKGROUND : Dyspnoea is very common in elderly patients and can be caused by a variety of different diseases. However, the initial diagnosis of patent ductus arteriosus (PDA) as a cause of left heart failure is very rare in this patient population. CASE SUMMARY : A 69-year-old physically active woman with known hypertension presented with worsening exertional dyspnoea. Echocardiography showed a dilated left ventricle with moderately reduced left ventricular ejection fraction, and evidence for PDA. The PDA was confirmed by computed tomography angiography and successfully closed by implantation of an Amplatzer PDA occluder II 06-06 mm. As a result, the heart failure symptoms receded completely. DISCUSSION : Congenital heart diseases should be considered as heart failure causes even in older adults. In addition to the standard medical therapy, there may be effective interventional treatment options to reverse the symptoms of heart failure in such patients. Oxford University Press 2020-11-30 /pmc/articles/PMC7891253/ /pubmed/33628999 http://dx.doi.org/10.1093/ehjcr/ytaa440 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of the European Society of Cardiology. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Reports
Podnar, Tomaz
Plank, Fabian
Müller, Silvana
Mair, Johannes
A case report on the successful interventional treatment of a rare cause of left heart failure in a 69-year-old woman
title A case report on the successful interventional treatment of a rare cause of left heart failure in a 69-year-old woman
title_full A case report on the successful interventional treatment of a rare cause of left heart failure in a 69-year-old woman
title_fullStr A case report on the successful interventional treatment of a rare cause of left heart failure in a 69-year-old woman
title_full_unstemmed A case report on the successful interventional treatment of a rare cause of left heart failure in a 69-year-old woman
title_short A case report on the successful interventional treatment of a rare cause of left heart failure in a 69-year-old woman
title_sort case report on the successful interventional treatment of a rare cause of left heart failure in a 69-year-old woman
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7891253/
https://www.ncbi.nlm.nih.gov/pubmed/33628999
http://dx.doi.org/10.1093/ehjcr/ytaa440
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