{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:27:48Z","timestamp":1753878468987,"version":"3.41.2"},"reference-count":3,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,4,7]],"date-time":"2025-04-07T00:00:00Z","timestamp":1743984000000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>We present a case of a 50\u2010year\u2010old male patient with shortness of breath and progressive edema. Echocardiography demonstrated dilation of the four cavities, left ventricular dysfunction, and a patent arterial duct (PDA) with systolic predominant flow due to pulmonary hypertension. Cardiac magnetic resonance imaging (MRI) confirmed the PDA. This case is of particular interest since the typical continuous heart murmur found in PDA is lost due to equalization of the diastolic pressure between the pulmonary and aortic circulation.<\/jats:p>","DOI":"10.1111\/echo.70159","type":"journal-article","created":{"date-parts":[[2025,4,7]],"date-time":"2025-04-07T21:14:27Z","timestamp":1744060467000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Adult Patient With Systolic Murmur: An Unexpected Diagnosis of Congenital Heart Disease"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-0299-5457","authenticated-orcid":false,"given":"Alejandra","family":"Robles\u2010Nava","sequence":"first","affiliation":[{"name":"Echocardiography Department National Institute of Cardiology Ignacio Ch\u00e1vez  M\u00e9xico City M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7845-0974","authenticated-orcid":false,"given":"Gabriela","family":"Melendez\u2010Ramirez","sequence":"additional","affiliation":[{"name":"Cardiac Resonance Magnetic Image Laboratory National Institute of Cardiology Ignacio Ch\u00e1vez  M\u00e9xico City M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7605-2008","authenticated-orcid":false,"given":"Xochitl A.","family":"Ortiz\u2010Leon","sequence":"additional","affiliation":[{"name":"Echocardiography Department National Institute of Cardiology Ignacio Ch\u00e1vez  M\u00e9xico City M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0336-5593","authenticated-orcid":false,"given":"Rodriguez\u2010Zanella","family":"Hugo","sequence":"additional","affiliation":[{"name":"Echocardiography Department National Institute of Cardiology Ignacio Ch\u00e1vez  M\u00e9xico City M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7658-6146","authenticated-orcid":false,"given":"Jose A.","family":"Arias\u2010Godinez","sequence":"additional","affiliation":[{"name":"Echocardiography Department National Institute of Cardiology Ignacio Ch\u00e1vez  M\u00e9xico City M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3749-4281","authenticated-orcid":false,"given":"Edith L.","family":"Posada\u2010Martinez","sequence":"additional","affiliation":[{"name":"Echocardiography Department National Institute of Cardiology Ignacio Ch\u00e1vez  M\u00e9xico City M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2295-588X","authenticated-orcid":false,"given":"Maria E.","family":"Ruiz\u2010Esparza","sequence":"additional","affiliation":[{"name":"Echocardiography Department National Institute of Cardiology Ignacio Ch\u00e1vez  M\u00e9xico City M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-0660-9063","authenticated-orcid":false,"given":"Jose R.","family":"Cruz\u2010Mendoza","sequence":"additional","affiliation":[{"name":"Echocardiography Department National Institute of Cardiology Ignacio Ch\u00e1vez  M\u00e9xico City M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3420-2861","authenticated-orcid":false,"given":"Juan F.","family":"Fritche\u2010Salazar","sequence":"additional","affiliation":[{"name":"Echocardiography Department National Institute of Cardiology Ignacio Ch\u00e1vez  M\u00e9xico City M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4,7]]},"reference":[{"issue":"2","key":"e_1_2_6_2_1","first-page":"163","article-title":"Patent Arterious Duct in Adult: Transcatether Treatment Immediate and Medium\u2010Term Results","volume":"76","author":"Garc\u00eda Montes J. A.","year":"2006","journal-title":"Archivos de Cardiologia de Mexico"},{"issue":"7","key":"e_1_2_6_3_1","article-title":"Unveiling the Silent Ductus: A Classical Presentation of Patent Ductus Arteriosus in an Asymptomatic 23\u2010Year\u2010Old Male","volume":"15","author":"Charpuria P. J.","year":"2023","journal-title":"Cureus"},{"issue":"3","key":"e_1_2_6_4_1","first-page":"108","article-title":"Pathological Heart Murmurs in Children","volume":"69","author":"Santamar\u00eda D. H.","year":"2002","journal-title":"Revista de Gastroenterolog\u00eda de M\u00e9xico"}],"container-title":["Echocardiography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.70159","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T02:32:23Z","timestamp":1748313143000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/echo.70159"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":3,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1111\/echo.70159"],"URL":"https:\/\/doi.org\/10.1111\/echo.70159","archive":["Portico"],"relation":{},"ISSN":["0742-2822","1540-8175"],"issn-type":[{"type":"print","value":"0742-2822"},{"type":"electronic","value":"1540-8175"}],"subject":[],"published":{"date-parts":[[2025,4]]},"assertion":[{"value":"2025-02-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70159"}}