Department of Pediatric Cardiology, Armed Forces Institute of Cardiology, PakistanFulltext PDF
The intracardiac lesions are most common leading cause of Eisenmenger syndrome especially in developing countries. The lesions including pre-tricuspid or post-tricuspid shunts can result in the most advanced form of Pulmonary Arterial Hypertension (PAH) i.e., Eisenmenger syndrome. There is a considerable risk of death and also compromised the quality of life in patients with Eisenmenger syndrome. In this report, we present a case of 20 years old young girl diagnosed with Atrial Septal Defect (ASD) and Patent Ductus Arteriosus (PDA) with Eisenmenger syndrome. She was managed with transcatheter device closure of PDA and was placed on pulmonary vasodilators so addressing high pressure lesions first and keeping low pressure (safety valve) lesion later on as stepwise approach. Her quality of life improved enormously within 3 months of device closure of PDA.
Atrial septal defect; Patent ductus arteriosus; Bidirectional shunt; Eisenmenger syndrome
Sadiq N. How to Deal with Multiple Shunt Lesions with Eisenmenger Syndrome: A Miracle Response. Ann Cardiol Cardiovasc Med. 2022;6(1):1048.