Journal of Rafsanjan University of Medical Sciences

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Keratoconus and Congential Degenerative Heart Diseases M.Mohammady1, MR.Solaimani1, H.Movahedan2 1- Assistant Professor of Ophathalmology. Medical university of Rafsanjan , Iran 2- Assistant Professor of Ophathalmology. Shiraz Medical university of Rafsanjan , Iran Background: To determine the association of congenital heart disease with keratoconus Material and Methods: In a case – control study, 30 consecutive patients with keratoconus and 30 age and sex matched controls were screened for congenital heart diseases approved by 2-D M. mode echocardiography. Evaluation of association between keratoconus and cardiologic abnormalities was determined by odds ratio. Results: Mitral valve prolapse (M. V. P) was found in 90% of keratoconus group and in 40% of control group (odds ratio = 13.5) Also there was significant association between patent foramen ovale (63,3%, control= 26.6%,odds ratio= 4.75) and tricuspid valve prolapse ( 40%, control= 13.3%,odds ratio = 4.33) and keratoconus. Conclusion: Based on the results, it is suggested that the keratoconus is a nonspecific corneal sign of a systemic collagen metablism disease and further biochemical and clinical studies are required to resolve this question. Keywords: Keratoconus , MVP, PFO, TVP, Congenital heart diseases

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  One Rare Case Report of Congenital Heart Disease in a 68 Year Old Female

  ME. Ghaidari^�PhD [1]

 

  Introduction: Patent ductus arterioses is a communication between aorta and pulmonary artery. This disease is one of the most common form of congenital heart disease, that usually is diagnosed in the period of neonatal and infancy, and can be treated.

  Cases of this disease rarely have been diagnosed in the period of adult and elderly. It is rare and reportable for cases of the this disease, in which have been diagnosed for the first time in the period of old age.

  Case Report: The patient that is reported here, is a 68 year old female whose disease had just been identified. Patient came with the complained of chest pain and palpitation, and continuous murmur on the left side of second intercostal during clinical assessment was noticable.

  Discassion: Paraclinical assessment, e.g. chest Xray (CXR), ECG and Echo cadiography, showed patent ductus arterioses and confirmed by cardiac cathetetrization.

  We report this 68 old age patient, as an interesting, rare, training case with regard of this matter: that patent ductus arterioses without pulamonary hypertension is rare among elderly people.

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  Key words: Patent Ductus Arterioses, Congenital Heart Disease, Adults, Rare Disease.

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  [1] - (Corresponding author ) Assistant Professor of Cardiology, Dept. of Cardiology Shahid Beheshti University of Medical
Sciences, Tehran

  Tel: (0871) 3287102 , Fax:(0871)3233600, E-mail:mghaidari@yahoo.com