Journal of the Korean Pediatric Society 1995;38(2):257-263.
Published online February 15, 1995.
A Case of Patent Ductus Arteriosus with Eisenmenger Syndrome Treated by Ligation of PDA
Chang Seon Yoo1, Hae Yong Lee1, Mee Kyung Namgoong1, Jong Soo Kim1, Mee Yon Cho2, Joong Hwan Oh3
1Department of Pediatrics, Yonsei University, Wonju College of Medicine, Wonju, Korea
2Department of Pathology, Yonsei University, Wonju College of Medicine, Wonju, Korea
3Department of Thoracic and Cardiovascular Surgery, Yonsei University, Wonju College of Medicine, Wonju, Korea
영아기 Eisenmenger 증후군이 동반된 동맥관 개존의 치험 1례
유창선1, 이해용1, 남궁미경1, 김종수1, 조미연2, 오중환3
1연세대학교 의과대학 소아과학교실
2연세대학교 원주의과대학 해부병리학교실
3연세대학교 원주의과대학 흉부외과학교실
We experienced a case of eisenmenger syndrome treated by simple surgical intervention. Eisenmenger syndrome refers to patients with congenital heart defects who have a systemic level of pulmonary arterial pressure and high pulmonary vascular resistance, with right-to-left or bidirectional shunting. Because a progressive rise in pulmonary vascular resistance may be better tolerated with an intracardiac communication, surgical repair in such patients may shorthen their life. But, urgent surgical intervention should be undertaken to reverse process if the pulmonary vascular disease is of recent origin. Patients who respond to vasoilator therapy, such as oxygen, are subjected to surgery. We reported a case of PDA with eisenmenger syndrome whose pulmonary vascular resistance fall following vasodilator, 100% oxygen, and closure of defect during cardiac catheterization, preoperatively, and who may faborable after simple surgical repair.
Key Words: Eisenmenger syndrome, Patent ductus arteriosus

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