Volume 42, Issue 4 e70159
CASE IMAGE

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

Alejandra Robles-Nava

Alejandra Robles-Nava

Echocardiography Department, National Institute of Cardiology Ignacio Chávez, México City, México

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Gabriela Melendez-Ramirez

Gabriela Melendez-Ramirez

Cardiac Resonance Magnetic Image Laboratory, National Institute of Cardiology Ignacio Chávez, México City, México

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Xochitl A. Ortiz-Leon

Xochitl A. Ortiz-Leon

Echocardiography Department, National Institute of Cardiology Ignacio Chávez, México City, México

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Rodriguez-Zanella Hugo

Rodriguez-Zanella Hugo

Echocardiography Department, National Institute of Cardiology Ignacio Chávez, México City, México

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Jose A. Arias-Godinez

Jose A. Arias-Godinez

Echocardiography Department, National Institute of Cardiology Ignacio Chávez, México City, México

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Edith L. Posada-Martinez

Edith L. Posada-Martinez

Echocardiography Department, National Institute of Cardiology Ignacio Chávez, México City, México

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Maria E. Ruiz-Esparza

Maria E. Ruiz-Esparza

Echocardiography Department, National Institute of Cardiology Ignacio Chávez, México City, México

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Jose R. Cruz-Mendoza

Jose R. Cruz-Mendoza

Echocardiography Department, National Institute of Cardiology Ignacio Chávez, México City, México

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Juan F. Fritche-Salazar

Corresponding Author

Juan F. Fritche-Salazar

Echocardiography Department, National Institute of Cardiology Ignacio Chávez, México City, México

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First published: 07 April 2025

Funding: The authors received no specific funding for this work.

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.

Conflicts of Interest

All authors report no conflicts of interest

Data Availability Statement

The article's data will be shared on reasonable request to the corresponding author.

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