Patent ductus arteriosus with infective endocarditis at age 22

Abstract

This report describes a 92-year-old woman patient with patent ductus arteriosus (PDA). She seems to be the oldest patient with PDA hitherto reported in the medical history. She developed infective endocarditis (IE) and congestive heart failure, and died at the age of 92. At autopsy, the PDA was found to the left of the origin of the left subclavian artery. Both left and right ventricles were hypertrophied with markedly dilated pulmonary arteries. IE involving the aortic valve extended to the sinus of Valsalva and pericardium, inducing pericarditis and cardiac tamponade. IE also resulted in systemic septic embolization. © 2008 The Japanese Society of Internal Medicine.