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Native valve infective endocarditis (IE) is rare, with an incidence of 3–7 cases per 100,000 person-years.1,2 Cardiac structural complications from local infection extension include valvular destruction, peri-annular abscess and fistula formation. Left ventricular pseudoaneurysm (LVP) from IE is exceedingly rare, occurring in <1% of cases, and is associated with high morbidity and mortality. Diagnosis is challenging due to nonspecific symptoms […]

Large patent ductus arteriosus in an adult complicated by pulmonary endarteritis and embolic lung abscess

Manoraj Navaratnarajah, Kwabena Mensah, Mahesh Balakrishnan, Shahzad G. Raja, Toufan Bahrami
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Published Online: Aug 7th 2018 Heart International 2011;6(2):e16 DOI: https://doi.org/10.4081/hi.2011.e16
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Abstract

Overview

Patent ductus arteriosus in the adult is an
extremely rare clinical phenomenon. We
report the case of a 34-year old man who developed
pulmonary endarteritis and subsequent
embolic lung abscess secondary to a large
patent ductus arteriosus. This brief report also
provides an overview of the natural history,
potential complications, optimal therapy, and
diagnostic dilemmas associated with this persistent
congenital cardiac defect in adults.

Keywords

Patent ductus arteriosus, pulmonary endarteritis, embolism, lung abscess.

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Article Information

Correspondence

Shahzad G. Raja, Department of Cardiac Surgery, Harefield Hospital Hill End Road, Harefield, UB9 6JH, London, UK. Tel. +44.1895828550 – Fax: +44.1895828992 E-mail: drrajashahzad@hotmail.com

Acknowledgements

The authors will like to thank
Dr Tarun Mittal, consultant cardiothoracic radiologist,
for providing the images and advice aimed
at improving the quality of the manuscript.

Received

2011-05-22T00:00:00

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