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Case Reports
. 2020 Dec 25;12(12):e12265.
doi: 10.7759/cureus.12265.

Biventricular Outflow Obstruction Associated With Atrioventricular Septal Defects and Patent Ductus Arteriosus: An Extremely Rare Combination

Abdulrhman Alabdulgader  1 , Abdullah A Alabdulgader Sr  2 , Metin Sungur  2 , Tarek AlSayad  2   3
Affiliations
Case Reports

Biventricular Outflow Obstruction Associated With Atrioventricular Septal Defects and Patent Ductus Arteriosus: An Extremely Rare Combination

Abdulrhman Alabdulgader et al. Cureus. .

Abstract

We present an extremely rare combination of biventricular outflow obstruction associated with atrioventricular septal defects and patent ductus arteriosus (PDA). Almost all the other published cases, including ours, were associated with other congenital cardiac lesions other than biventricular outflow obstruction. Most cases ended with poor outcomes. Our patient was a 55-day-old term female infant. She was managed by successful aortic balloon valvuloplasty with successful early outcome.

Keywords: atrioventricular septal defects; balloon valvuloplasty; biventricular outflow obstruction; combined semilunar valves stenosis; congenital heart diseases (chds); neonates; patent ductus arteriosus; pediatric cardiology.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Two dimensional and color flow mapping of subcostal view showing atrial septal defect (arrow) with left to right shunt across.
LA, left atrium; RA, right atrium
Figure 2
Figure 2. Two dimensional and color flow mapping of apical five chamber view showing outlet subaortic ventricular septal defect (arrow), smallish left ventricular outflow, and turbulent flow across stenotic aortic valve (arrow head).
LA, left atrium; LV, left ventricle
Figure 3
Figure 3. Two dimensional and color flow mapping of modified apical view showing turbulent flow across stenotic pulmonary valve (arrow).
MPA, main pulmonary artery; LV, left ventricle; RV, right ventricle
Figure 4
Figure 4. Two dimensional and color flow mapping of high parasternal “ductal” view showing large patent ductus arteriosus.
MPA, main pulmonary artery; PDA, patent ductus arteriosus
Figure 5
Figure 5. Antero-posterior fluoroscopic view during balloon valvuloplasty of the aortic valve with disappearance of the waist (arrow) followed by immediate pressure drop across the valve from 65 to 22 mmHg.
See this image and copyright information in PMC

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