Key result
A 3.5-year-old child with a delayed diagnosis of a large patent ductus arteriosus presented with significant pulmonary arterial hypertension, highlighting the importance of proper clinical assessment.
Why the study?
Undiagnosed or delayed diagnosis of significant congenital heart disease can lead to significant pulmonary arterial hypertension and Eisenmenger syndrome.
Case Report (n=1)
Highlights the importance of early diagnosis and proper clinical assessment using basic tools to prevent significant pulmonary arterial hypertension and Eisenmenger syndrome in children with congenital heart disease.
Case of delayed large PDA with PAH warrants clinical vigilance in murmur assessment; leaves open optimal screening protocols in congenital heart disease.
Pulmonary arterial hypertension associated with congenital heart disease (PAH-CHD) is one type under group 1 PH. Undiagnosed or delayed diagnosis of significant CHD might lead to significant PAH and at the end might lead to Eisenmenger syndrome. We could expect the degree of PAH in patients with CHD by proper clinical assessment as well as by the basic assessment tools including the chest x-ray (CXR), ECG, and transthoracic echocardiography (TTE). We are presenting a three and half years old child with a delayed/missed diagnosis of large patent ductus arteries (PDA) who present with significant PAH. Clinical evaluation, CXR, ECG, TTE, as well as cardiac catheterization data are presented, with a review of the current guidelines regarding the management of pediatric patients with PAH-CHD.
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Alakhfash et al. (2020) conducted a case report in Pulmonary arterial hypertension associated with congenital heart disease (PAH-CHD) (n=1). Clinical evaluation and diagnostic imaging (CXR, ECG, TTE, cardiac catheterization) was evaluated. A 3.5-year-old child with a delayed diagnosis of a large patent ductus arteriosus presented with significant pulmonary arterial hypertension, highlighting the importance of proper clinical assessment.
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