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Related Experiment Videos

Patent ductus arteriosus in the elderly.

S Zarich1, H Leonardi, J Pippin

  • 1Department of Medicine, New England Deaconess Hospital, Boston.

Chest
|November 1, 1988
PubMed
Summary

Patent ductus arteriosus is rare in the elderly. This case report details the successful surgical repair in a 72-year-old presenting with angina, highlighting a unique clinical presentation.

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Area of Science:

  • Cardiology
  • Adult Congenital Heart Disease
  • Thoracic Surgery

Background:

  • Patent ductus arteriosus (PDA) typically presents in infancy or childhood.
  • Late presentation of PDA in elderly patients is uncommon.
  • Surgical intervention for PDA in older adults requires careful consideration.

Observation:

  • A 72-year-old patient presented with symptoms of typical angina pectoris.
  • Coronary anatomy was found to be normal, ruling out ischemic heart disease.
  • Diagnostic workup revealed a patent ductus arteriosus as the underlying cause.

Findings:

  • Successful surgical interruption of the patent ductus arteriosus was performed.
  • This represents the oldest patient reported to undergo successful PDA repair.
  • A novel pathophysiologic mechanism linking PDA to angina symptoms in this patient was proposed.

Implications:

  • This case expands the understanding of atypical presentations of PDA in the elderly.
  • It underscores the importance of considering congenital heart anomalies in older patients with unexplained symptoms.
  • The findings support surgical management of PDA in select elderly individuals.

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