Division of Cardiology, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.
Korean Circ J. 2012 Dec;42(12):849-52. doi: 10.4070/kcj.2012.42.12.849. Epub 2012 Dec 31.
Patent ductus arteriosus (PDA) is a rare clinical finding in adult patients. Considering the increase in cases of PDA discovered incidentally on echocardiograms at young ages, and the life-shortening effect of PDA, it is rare to diagnose PDA in old patients. We report a case of an 80-year-old patient who experienced symptoms of congestive heart failure showed findings suggestive of PDA in echocardiogram and confirmed the diagnosis through a cardiac catheterization and a coronary angiography. After percutaneous occlusion of PDA with an Amplatzer duct occlusion device, symptoms related to congestive heart failure improved.
动脉导管未闭（PDA）在成年患者中较为少见。鉴于在年轻患者的超声心动图检查中偶然发现 PDA 的病例增多，以及 PDA 对寿命的缩短作用，在老年患者中诊断 PDA 较为罕见。我们报告了一例 80 岁患者，其出现充血性心力衰竭症状，超声心动图提示存在 PDA 表现，并通过心导管检查和冠状动脉造影证实了该诊断。使用 Amplatzer 动脉导管封堵器进行 PDA 经皮封堵后，充血性心力衰竭相关症状得到改善。
