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Reversible Congestive Heart Failure after Percutaneous Closure of a Large PDA in a 34-year-old Woman

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Author(s): Ramazan Kargın | Soe Moe Aung | Özkan Candan | Nihal Özdemir | M. Yunus Emiroğlu

Journal: Koşuyolu Kalp Dergisi
ISSN 1300-8706

Volume: 13;
Issue: 2;
Start page: 24;
Date: 2010;
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Keywords: Patent ductus arteriosus | Congestive heart failure | Percutaneous closure

ABSTRACT
Patent ductus arteriosus is a congenital heart disease which can cause chronic volume overload leading to congestive heart failure. A 34-year-old woman with rest dyspnea was found to have patent ductus arteriosus and echocardiogram revealed a markedly dilated left ventricle (8.9 cm) and severely-compromised left ventricle systolic functions (ejection fraction~24%). The patent ductus arteriosus was successfully closed percutaneously with Amplatzer occluder device. The patient was discharged on optimal dosages of ramipril, metoprolol, furosemide, spiranolactone and aspirin. On the follow-up after 18 months, the symptoms were found to have regressed and echocardiographic parameters improved (ejection fraction~55%).
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