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Case Reports
. 2025 Apr;42(4):e70159.
doi: 10.1111/echo.70159.

Adult Patient With Systolic Murmur: An Unexpected Diagnosis of Congenital Heart Disease

Alejandra Robles-Nava  1 , Gabriela Melendez-Ramirez  2 , Xochitl A Ortiz-Leon  1 , Rodriguez-Zanella Hugo  1 , Jose A Arias-Godinez  1 , Edith L Posada-Martinez  1 , Maria E Ruiz-Esparza  1 , Jose R Cruz-Mendoza  1 , Juan F Fritche-Salazar  1
Affiliations
Case Reports

Adult Patient With Systolic Murmur: An Unexpected Diagnosis of Congenital Heart Disease

Alejandra Robles-Nava et al. Echocardiography. 2025 Apr.

Abstract

We present a case of a 50-year-old male patient with shortness of breath and progressive edema. Echocardiography demonstrated dilation of the four cavities, left ventricular dysfunction, and a patent arterial duct (PDA) with systolic predominant flow due to pulmonary hypertension. Cardiac magnetic resonance imaging (MRI) confirmed the PDA. This case is of particular interest since the typical continuous heart murmur found in PDA is lost due to equalization of the diastolic pressure between the pulmonary and aortic circulation.

Keywords: adult patient; echocardiography; murmur; patent ductus arteriosus.

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References

    1. J. A. García Montes, C. C. Zabal, J. Calderón Colmenero, et al., “Patent Arterious Duct in Adult: Transcatether Treatment Immediate and Medium‐Term Results,” Archivos de Cardiologia de Mexico 76, no. 2 (2006): 163–168.
    1. P. J. Charpuria, N. R. Ganampet, S. M. Kurian, et al., “Unveiling the Silent Ductus: A Classical Presentation of Patent Ductus Arteriosus in an Asymptomatic 23‐Year‐Old Male,” Cureus 15, no. 7 (2023): e42678.
    1. D. H. Santamaría, C. Danglot Banck, and G. M. Gómez, “Pathological Heart Murmurs in Children,” Revista de Gastroenterología de México 69, no. 3 (2002): 108–110.

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