Open AccessA 26-year-old woman with worsening dyspnea: Look closer, think critically
Author(s) -
Yavuzer Koza,
Oğuzhan Birdal,
Berhan Pirimoğlu,
Hakan Taş
Publication year - 2020
Publication title -
journal of cardiovascular echography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.255
H-Index - 8
eISSN - 2347-193X
pISSN - 2211-4122
DOI - 10.4103/jcecho.jcecho_24_20
Subject(s) - medicine , eisenmenger syndrome , pulmonary hypertension , ductus arteriosus , lung transplantation , cardiology , critically ill , pulmonary embolus , intensive care medicine , vascular resistance , medical therapy , pediatrics , lung , pulmonary embolism , hemodynamics
Pulmonary hypertension due to congenital heart disease continues to be a diagnostic challenge despite modern diagnostic modalities. Herein, we report a 26-year-old woman with an incidentally documented patent ductus arteriosus and Eisenmenger syndrome. She presented with progressive dyspnea and exercise intolerance which was initially attributed to pulmonary embolus. She was started on macitentan and tadalafil therapy aiming to reduce the pulmonary vascular resistance with consideration for heart-lung transplantation should any further deterioration occur.