Cyanotic Severe Pulmonary Stenosis with an Intracardiac Shunt: A Case Report and Literature Review

Authors

  • Yulius Patimang aDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Hasanuddin, Makassar 90245, Indonesia. bMakassar Cardiac Center (Pusat Jantung Terpadu), Dr. Wahidin Sudirohusodo General Teaching Hospital, Makassar 90245, Indonesia.
  • Andriany Qanitha Department of Physiology, Faculty of Medicine, Universitas Hasanuddin, Makassar 90245, Indonesia. https://orcid.org/0000-0003-2420-0560
  • Andi Alief Utama Armyn Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Hasanuddin, Makassar 90245, Indonesia
  • Idar Mappangara a Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Hasanuddin, Makassar 90245, Indonesia. bMakassar Cardiac Center (Pusat Jantung Terpadu), Dr. Wahidin Sudirohusodo General Teaching Hospital, Makassar 90245, Indonesia. https://orcid.org/0000-0003-1543-1519
  • Muzakkir Amir a Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Hasanuddin, Makassar 90245, Indonesia. https://orcid.org/0000-0002-4914-3542

Keywords:

Balloon pulmonary valvuloplasty, cyanosis, hypoxemia, hyperviscosity syndrome, patent foramen ovale, pulmonary stenosis, case report

Abstract

Pulmonary stenosis is a congenital defect, with isolated severe cases rarely associated with cyanosis. We report a 10-year-old girl diagnosed with severe pulmonary stenosis (peak gradient 111 mmHg), presented with worsening cyanosis, chest discomfort, and exercise intolerance. We were perplexed by the presence of cyanosis in her current condition. The answer emerged during a right heart catheterization, revealing a previously undetected patent foramen ovale with eluded identification through a non-invasive trans-thoracic echocardiography.

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Published

2024-06-05

How to Cite

Patimang, Y. ., Qanitha, A. ., Utama Armyn, A. A. ., Mappangara, I. ., & Amir, M. . (2024). Cyanotic Severe Pulmonary Stenosis with an Intracardiac Shunt: A Case Report and Literature Review. Gaceta Médica De Caracas, 132(2). Retrieved from https://saber.ucv.ve/ojs/index.php/rev_gmc/article/view/28556

Issue

Vol. 132 No. 2 (2024)

Section

CASOS CLÍNICOS

License

Copyright (c) 2024 Gaceta Médica de Caracas

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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