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A rare case of eisenmenger syndrome in a young nigerian male with an undiagnosed atrial septal defect
Onyinye Sylvia Ugoala1, Okorie Kalu Kalu1, Atendi Blessing Akande1, Ugochukwu Jerome Ebubechukwu2, Precious Uhunamure1, Evelyn Ogedegbe3
1 Department of Cardiology, Cedarcrest Hospitals, Abuja, Nigeria
2 Department of Clinical Skills, St. George's University School of Medicine, Grenada, West Indies
3 Department of Internal Medicine, Cedarcrest Hospitals, Abuja, Nigeria
Correspondence Address:
Onyinye Sylvia Ugoala,
Department of Cardiology, Cedarcrest Hospitals, Abuja
Nigeria
 Source of Support: None, Conflict of Interest: None
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Eisenmenger syndrome refers to the reversal of an original left-to-right shunt due to long-standing pulmonary hypertension and high pulmonary vascular resistance, in the presence of an intracardiac anatomic defect. Few cases have been reported in Nigeria. The importance of early identification of a cardiac defect cannot be overemphasized, as this leads to avoidance of pulmonary vascular disease (which can impact morbidity and mortality) by repairing the defect. We report a case of an adult male presenting with shortness of breath due to atrial septal defect causing pulmonary arterial hypertension with Eisenmenger physiology, to highlight the occurrence of this rare condition in our locality, to raise awareness for a high index of suspicion.
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