Cyanotic Severe Pulmonary Stenosis with an Intracardiac Shunt: A Case Report and Literature Review

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Publicado: Jun 5, 2024
Palabras clave:
Balloon pulmonary valvuloplasty, cyanosis, hypoxemia, hyperviscosity syndrome, patent foramen ovale, pulmonary stenosis, case report

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Yulius Patimang
aDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Hasanuddin, Makassar 90245, Indonesia. bMakassar Cardiac Center (Pusat Jantung Terpadu), Dr. Wahidin Sudirohusodo General Teaching Hospital, Makassar 90245, Indonesia.
Andriany Qanitha
Department of Physiology, Faculty of Medicine, Universitas Hasanuddin, Makassar 90245, Indonesia.
https://orcid.org/0000-0003-2420-0560
Andi Alief Utama Armyn
Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Hasanuddin, Makassar 90245, Indonesia
Idar Mappangara
a Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Hasanuddin, Makassar 90245, Indonesia. bMakassar Cardiac Center (Pusat Jantung Terpadu), Dr. Wahidin Sudirohusodo General Teaching Hospital, Makassar 90245, Indonesia.
https://orcid.org/0000-0003-1543-1519
Muzakkir Amir
a Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Hasanuddin, Makassar 90245, Indonesia.
https://orcid.org/0000-0002-4914-3542

Resumen

Pulmonary stenosis is a congenital defect, with isolated severe cases rarely associated with cyanosis. We report a 10-year-old girl diagnosed with severe pulmonary stenosis (peak gradient 111 mmHg), presented with worsening cyanosis, chest discomfort, and exercise intolerance. We were perplexed by the presence of cyanosis in her current condition. The answer emerged during a right heart catheterization, revealing a previously undetected patent foramen ovale with eluded identification through a non-invasive trans-thoracic echocardiography.

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Cómo citar
Patimang, Y. ., Qanitha, A. ., Utama Armyn, A. A. ., Mappangara, I. ., & Amir, M. . (2024). Cyanotic Severe Pulmonary Stenosis with an Intracardiac Shunt: A Case Report and Literature Review. Gaceta Médica De Caracas, 132(2). Recuperado a partir de http://caelum.ucv.ve/ojs/index.php/rev_gmc/article/view/28556
Número
Vol. 132 Núm. 2 (2024)
Sección
CASOS CLÍNICOS
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Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial 4.0.