Patent ductus arteriosus presenting as dilated cardiomyopathy with heart failure in an adult managed with percutaneous intervention

Patent ductus arteriosus (PDA) is a common congenital heart disease, presenting with symptoms of increased pulmonary blood flow in infancy and childhood. In adults PDA if it is small detected accidentally because of the continuous murmur or if PDA is large they develop severe pulmonary vascular disease and develop Eisenmenger syndrome. Very few patients with large PDA present with dilated cardiomyopathy without pulmonary hypertension. Herewith, we report a case of large PDA who presented with symptoms of heart failure without pulmonary vascular disease and manage successfully with percutaneous device closure.