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August 1957

Patent Ductus Arteriosus with Pulmonary Hypertension: Report of a Case with Death Immediately Post Partum

Author Affiliations

Richmond, Va.

From the Departments of Medicine and Pathology, Medical College of Virginia.

AMA Arch Intern Med. 1957;100(2):305-310. doi:10.1001/archinte.1957.00260080131026

Patent ductus arteriosus is a relatively common congenital cardiovascular anomaly, and the findings in the classical type are well known. In recent years the atypical patent ductus arteriosus associated with pulmonary hypertension has been described with increasing frequency and has been found to constitute a definite syndrome. This case is of interest because of the relative rarity of this syndrome and because of the association of pregnancy with this patient's death.

Report of Case  A 30-year-old white primigravida of approximately 35 weeks' gestation was admitted to the Obstetrical Service of the Medical College of Virginia Hospital one hour after spontaneous rupture of the fetal membranes. This patient had been followed regularly during her pregnancy by an obstetrician. She had been in reasonable health all of her life except for the usual childhood diseases. Her family physician found that she had a heart murmur, but the patient had not noted unusual