{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T20:10:02Z","timestamp":1756325402434,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,11,4]]},"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:p>An asymptomatic woman aged 24 years was informed about the presence of a heart murmur by her attending obstetrician while she was hospitalised for a spontaneous abortion 6 months ago and was subsequently referred to us to rule out underlying heart disease. After clinical examination and relevant laboratory evaluation, a diagnosis of severe valvular pulmonary stenosis (PS) was established. Interestingly, our patient had undergone an open thoracotomy for surgical closure of a patent ductus arteriosus (PDA) under general anaesthesia 12 years ago in the absence of any appreciable shunt across the ligated ductus at present. Considering the severe gradient across her pulmonary valve, she underwent a successful percutaneous balloon pulmonary valvuloplasty (PBPV) procedure with excellent haemodynamic outcome. The pertinent literature concerning the rare combination of PDA in association with PS as well as the technicalities of PBPV procedure in an adult are discussed.<\/jats:p>","DOI":"10.1136\/bcr-2021-245235","type":"journal-article","created":{"date-parts":[[2021,11,18]],"date-time":"2021-11-18T11:43:57Z","timestamp":1637235837000},"page":"e245235","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Percutaneous balloon pulmonary valvuloplasty in a young lady with coexisting repaired patent ductus arteriosus"],"prefix":"10.1136","volume":"14","author":[{"given":"Pranab Jyoti","family":"Bhattacharyya","sequence":"first","affiliation":[{"name":"Department of Cardiology, Gauhati Medical College and Hospital, Guwahati, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arun Kumar","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Gauhati Medical College and Hospital, Guwahati, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kumar Pankaj","family":"Prabhat","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Gauhati Medical College and Hospital, Guwahati, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,11,18]]},"reference":[{"key":"2025082712290953000_14.11.e245235.1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.16.4.387"},{"key":"2025082712290953000_14.11.e245235.2","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1161\/01.CIR.17.2.232","article-title":"Patent ductus arteriosus in association with pulmonic stenosis; a report of six cases with additional non-cardiac congenital anomalies","volume":"17","author":"Heiner","year":"1958","journal-title":"Circulation"},{"key":"2025082712290953000_14.11.e245235.3","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(52)90227-1"},{"key":"2025082712290953000_14.11.e245235.4","doi-asserted-by":"crossref","first-page":"500","DOI":"10.3349\/ymj.2008.49.3.500","article-title":"Patent ductus arteriosus and pulmonary valve stenosis in a patient with 18p deletion syndrome","volume":"49","author":"Xie","year":"2008","journal-title":"Yonsei Med J"},{"key":"2025082712290953000_14.11.e245235.5","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1002\/clc.4960200415","article-title":"Natural history of asymptomatic valvar pulmonary stenosis diagnosed in infancy","volume":"20","author":"Anand","year":"1997","journal-title":"Clin Cardiol"},{"key":"2025082712290953000_14.11.e245235.6","unstructured":"Coats L , Lurz P , Daehnert I . 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Intervention for Pediatric and Adult Congenital Heart Disease. In: Moscucci M , ed. Grossman and Baim\u2019s Cardiac Catheterization, Angiography, and Intervention. Wolters Kluwer. 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