Resolution of high aortic valve systolic gradient suggesting significant stenosis following closure of patent ductus arteriosus

Gousia Mukhtar; Arun Gopalakrishnan; Kavassery Mahadevan Krishnamoorthy

doi:10.1111/echo.15919

Resolution of high aortic valve systolic gradient suggesting significant stenosis following closure of patent ductus arteriosus

Echocardiography. 2024 Sep;41(9):e15919. doi: 10.1111/echo.15919.

Authors

Gousia Mukhtar¹, Arun Gopalakrishnan¹, Kavassery Mahadevan Krishnamoorthy¹

Affiliation

¹ Department of Cardiology, Sree Chitra Tirunal Institute of Medical Sciences and Technology, SCTIMST, Thiruvananthapuram, Kerala, India.

PMID: 39268623
DOI: 10.1111/echo.15919

Abstract

A 3-month-old baby girl presenting with heart failure was found to have a large persistent ductus arteriosus as well as a bicuspid aortic valve with severe aortic stenosis. She underwent surgical ductal closure following which there was complete resolution of aortic valve gradients without requiring any aortic valve intervention. This case highlights the importance of understanding hemodynamics in efficacious management of congenital heart disease.

Keywords: persistent ductus arteriosus; severe aortic stenosis.

Publication types

Case Reports

MeSH terms

Aortic Valve Stenosis* / complications
Aortic Valve Stenosis* / physiopathology
Aortic Valve Stenosis* / surgery
Aortic Valve* / diagnostic imaging
Aortic Valve* / surgery
Ductus Arteriosus, Patent* / complications
Ductus Arteriosus, Patent* / physiopathology
Ductus Arteriosus, Patent* / surgery
Echocardiography / methods
Female
Humans
Infant
Treatment Outcome