Coarctation of the Aorta and a Parachute Mitral Valve in an Adult With Differential Cyanosis
Jaime Alfonso M. Aherrera, Ma. Teresa B. Abola, Jose Donato A. Magno, Ma. Helga F. Sta. Maria, Lauro L. Abrahan, IV, Richard Henry P. Tiongco, II, John C. Anonuevo
Abstract
Differential cyanosis may occur in Eisenmenger physiology in the presence of a patent ductus arteriosus (PDA). We present a unique case of a 22-year-old male manifesting as cyanosis of the left upper extremity and both lower extremities, but with preservation of the right upper extremity. Work-up revealed multiple congenital defects, reminiscent of the Shone's complex. Survival into adulthood is presumed to be due to a PDA, at the expense of a right-to-left shunt. This report highlights the interplay of multiple anomalies documented on echocardiography and MRI, wherein diagnosis was made non-invasively.
Cardiol Res. 2015;6(1):232-235
doi: http://dx.doi.org/10.14740/cr378w
Keywords
Shone’s complex; Coarctation of the aorta; Differential cyanosis
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