Adult Patient With Systolic Murmur: An Unexpected Diagnosis of Congenital Heart Disease

• Published in: Echocardiography (Mount Kisco, N.Y.) Vol. 42; no. 4; pp. e70159 - n/a
• Main Authors: Robles‐Nava, Alejandra, Melendez‐Ramirez, Gabriela, Ortiz‐Leon, Xochitl A., Hugo, Rodriguez‐Zanella, Arias‐Godinez, Jose A., Posada‐Martinez, Edith L., Ruiz‐Esparza, Maria E., Cruz‐Mendoza, Jose R., Fritche‐Salazar, Juan F.
• Format: Journal Article
• Language: English
• Published: United States 01.04.2025
• Subjects: adult patient; Diagnosis, Differential; Ductus Arteriosus, Patent - complications; Ductus Arteriosus, Patent - diagnosis; Ductus Arteriosus, Patent - diagnostic imaging; echocardiography; Echocardiography - methods; Heart Defects, Congenital - complications; Heart Defects, Congenital - diagnosis; Heart Defects, Congenital - diagnostic imaging; Heart Murmurs - etiology; Humans; Male; Middle Aged; murmur; patent ductus arteriosus; Systolic Murmurs - diagnosis; Systolic Murmurs - diagnostic imaging; Systolic Murmurs - etiology; adult patient; patent ductus arteriosus; murmur; echocardiography
• ISSN: 0742-2822; 1540-8175; 1540-8175
• DOI: 10.1111/echo.70159

ABSTRACT We present a case of a 50‐year‐old male patient with shortness of breath and progressive edema. Echocardiography demonstrated dilation of the four cavities, left ventricular dysfunction, and a patent arterial duct (PDA) with systolic predominant flow due to pulmonary hypertension. Cardiac magnetic resonance imaging (MRI) confirmed the PDA. This case is of particular interest since the typical continuous heart murmur found in PDA is lost due to equalization of the diastolic pressure between the pulmonary and aortic circulation.