title: Patent Ductus Arteriosus With Eisenmenger Syndrome: Difficult Diagnosis Made Easily With Saline Contrast Echocardiography.
abstract: The diagnosis of patent ductus arteriosus (PDA) with Eisenmenger syndrome is difficult. We report a case of 35-year-old male who came to our outpatient department (OPD) for evaluation of repeated hemoptysis and dyspnea on exertion. He had already completed two courses of ATT. On examination, grade 3 ejection systolic murmur was audible over precordium. Transthoracic echocardiography (TTE) showed enlargement of right atrium (RA) and right ventricular (RV) with severe tricuspid regurgitation (TR). On agitated saline contrast injection, agitated saline was seen in pulmonary artery followed by filling of abdominal aorta without filling of ascending aorta, thus confirming the diagnosis of right to left shunt with PDA.
authors.affiliation: Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
authors.forename: Prakash
authors.initials: P
authors.lastname: Kumar
authors.affiliation: LPS Institute of Cardiology, GSVM Medical College, Kanpur, India.
authors.forename: Santosh Kumar
authors.initials: SK
authors.lastname: Sinha
authors.affiliation: LPS Institute of Cardiology, GSVM Medical College, Kanpur, India.
authors.forename: Umeshwar
authors.initials: U
authors.lastname: Pandey
authors.affiliation: LPS Institute of Cardiology, GSVM Medical College, Kanpur, India.
authors.forename: Ramesh
authors.initials: R
authors.lastname: Thakur
authors.affiliation: LPS Institute of Cardiology, GSVM Medical College, Kanpur, India.
authors.forename: Chandra Mohan
authors.initials: CM
authors.lastname: Varma
authors.affiliation: LPS Institute of Cardiology, GSVM Medical College, Kanpur, India.
authors.forename: Mohit
authors.initials: M
authors.lastname: Sachan
authors.affiliation: LPS Institute of Cardiology, GSVM Medical College, Kanpur, India.
authors.forename: Amit
authors.initials: A
authors.lastname: Goel
keywords: Eisenmenger syndrome; Patent ductus arteriosus; Saline contrast echocardiography