All issues > Volume 38(2); 1995

Case Report

J Korean Pediatr Soc. 1995;38(2):257-263. Published online February 15, 1995.

A Case of Patent Ductus Arteriosus with Eisenmenger Syndrome Treated by Ligation of PDA

Chang Seon CS Yoo¹, Hae Yong HY Lee¹, Mee Kyung MK Namgoong¹, Jong Soo JS Kim¹, Mee Yon MY Cho², Joong Hwan JH Oh³

¹Department of Pediatrics, Yonsei University, Wonju College of Medicine, Wonju, Korea
²Department of Pathology, Yonsei University, Wonju College of Medicine, Wonju, Korea
³Department of Thoracic and Cardiovascular Surgery, Yonsei University, Wonju College of Medicine, Wonju, Korea

Abstract

We experienced a case of eisenmenger syndrome treated by simple surgical intervention. Eisenmenger syndrome refers to patients with congenital heart defects who have a systemic level of pulmonary arterial pressure and high pulmonary vascular resistance, with right-to-left or bidirectional shunting. Because a progressive rise in pulmonary vascular resistance may be better tolerated with an intracardiac communication, surgical repair in such patients may shorthen their life. But, urgent surgical intervention should be undertaken to reverse process if the pulmonary vascular disease is of recent origin. Patients who respond to vasoilator therapy, such as oxygen, are subjected to surgery. We reported a case of PDA with eisenmenger syndrome whose pulmonary vascular resistance fall following vasodilator, 100% oxygen, and closure of defect during cardiac catheterization, preoperatively, and who may faborable after simple surgical repair.

Keywords :Eisenmenger syndrome, Patent ductus arteriosus