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Journal : Pediatric Sciences Journal

Patent ductus arteriosus and pulmonary hypertension in a fifteen-year-old boy with congenital rubella syndrome and cerebral palsy: a case report Putri, Jeanaya Hedya Alfara; Haris, Ivana Angelica; Nahdah, Jaudah; Putri, Jenniefer Clarissa; Hamdy, Irza Hasanal; Pikir, Rizqi Rokhmadhoni; Adam, Olivia Mahardani; Adiwinoto, Ronald Pratama
Pediatric Sciences Journal Vol. 6 No. 1 (2025): Available online : 1 June 2025
Publisher : Medical Faculty of Brawijaya University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/pedscij.v6i1.96

Abstract

Introduction: Congenital Rubella Syndrome (CRS) is characterized by congenital cataracts, congenital heart disease (CHD), hearing loss, and developmental delay. It is caused by maternal rubella infection during pregnancy, transmitted transplacentally or via respiratory droplets. CRS carries a high risk of morbidity and mortality, with approximately 10–20% of affected infants dying within the first year of life. This case report describes a 15-year-old boy with CRS who developed pulmonary hypertension (PH) due to a persistent patent ductus arteriosus (PDA). Case Description: A 15-year-old boy presented with progressive abdominal distension over one week. Initially suspected of having nephritic syndrome, further evaluation revealed bilateral congenital cataracts, non-cyanotic CHD in the form of PDA, sensorineural hearing loss, and developmental delay, fulfilling criteria for CRS. The patient also exhibited delayed motor milestones (walking at age seven) and limb rigidity suggestive of cerebral palsy (CP). Echocardiography confirmed PDA (0.4 cm) with severe tricuspid and aortic regurgitation, and chest X-ray demonstrated cardiomegaly with PH. The PDA was successfully closed using an Amplatzer Duct Occluder (ADO) via catheterization. Conclusion: This case underscores the importance of early diagnosis and intervention in CRS patients with PDA to prevent irreversible pulmonary vascular disease. Despite a very late PDA closure at age 15, the patient achieved hemodynamic improvement and maintained functional capacity, highlighting that catheter-based closure remains feasible and beneficial even in adolescence. Multidisciplinary care, including timely cardiac intervention and neurodevelopmental support, can improve quality of life in CRS survivors.
Co-Authors Abdul Azis, Bima ADAM, OLIVIA MAHARDANI Adisyahputra, Vega Adnyana , I Made Dwi Mertha Agung Dwi Wahyu Widodo Agung Pranoto Agustin, Renny Al Hasan, Hafidz Ramadhan Alpha Fardah Athiyyah Amin, M. Shadiqul Angelica Kresnamurti Ariewibawa, Fariz Atiqi Arifin, Alief Qobidh Al Bashor Artha Budi Susila Duarsa Astrid Kusuma Avelline, Kendraadine Dheayu Baita, Etina Noor Biutifasari, Verna Brilliandinda Ichsasqia Sidqi Auliayahya Brilliant , Fahridho Ramadhana Cahya Yudha Laksmana Putra Cempakasari, Aulia da Cruz , Zito Viegas Devanda, Kasilda Pasha Dewi, I Gusti Ayu Ajeng Widia Kencana Dewindra Candra Puspita, Amalia Diah Utami, Prawesty Diana, Adawiyah Putri Diarnasa Zihara Safira, Lavenda Dinda Umardy, Fairuziah Distyvanya, Shakira Azzahra Dwinka Syafira Eljatin Dwitama Adiwinoto, Robert E.J.T, SIHNING Effendi, Muchiddin Andri Setyo Eka Fitriani Hafel Erina Yatmasari Ersanda Nurma Fathir Fadhilah, Yahdiyan Febri Endra Budi Setyawan Florentina Sustini Graciela, Anne Maria Hadi, Janto Poernomo Hadi, Rifqi Athaya Vinanta Hamdy, Irza Hasanal Hardiono Hardiono, Hardiono Hardjono, Ellen Angelique Haris, Ivana Angelica Hayati, Khofifah Bela Rachmanu Helda Dwiana Sari HENDRATA ERRY ANDISARI2 Herdiyantini, Mita Heru Nurdianto Hibatullah, Faiz Nur Hidajat, Boerhan Hutami, Firdha Yekti Izzah Al Nabilah Jongky Hendro Prajitno Kalada, Elisabeth Chelsea Uma Ketut Edy Sudiarta Kharizmatika Kurnia Cahya, Sekar Larassanti, Levina Lauwis, Keziah Queency Liliawanti Liza Yudistira Yusan Lutfian, Lutfian Made Ayu Mira Cyntia Dewi Made Peni Juliana Maliku Nurrochman Widandi Manata Wijaya Sasmita Martono, Alicia Stevina Maulana Muchammad Aunun Najib Maulana, Sidik Maylisca Theresia Mulya Diprasta, Made Medina, Nadra Odifa Meiriyanti Dhita Mentari Nata Kusuma Michael Bramantya Michelle Madeline Maydavania Miranda, Stefani MOCHAMAD ALVIRIO NEDYA RIZKA Muhammad Kalaznykov MUHAMMAD RIZAL Nadya Aisyah Sasqia Putri Nahdah, Jaudah NANDA ABIGAIL Nelya Rindayu, Dinnara Ni Luh Gede Sudaryati Norholila Nugraheni, Pramita Anindya Oki Nugraha Putra Oktavia, Reza Mardiana Ayu Peppy Nawangsasi Peter Gunawan Tandean Pikir, Rizqi Rokhmadhoni Poerwanto, Eka Pramita Anindya Nugraheni Pramudita Riwanti Prasasti, Vincentia Prasetya, Hanung Prasetyadi , Frans O.H. Prima Arundani Purmata, Andrew Theo William Chris Putra, Fabianus Yvan Marino Cahaya Putra, Oki Nugraha Putri, Fernita Naomi Putri, Ida Ayu Govinda Lazenobia De Sanjaya Putri, Jeanaya Hedya Alfara Putri, Jenniefer Clarissa Raharja, Febrila Tarisa Rahmadita, Annisa Putri Rahmawati, Tiara Rantika, Rheina Hasna Rasyida, Annisa Ullya Raza, Syed Meesam Renata Prameswari Retno Budiarti Retno Budiarti Riami Ristanti, Safira Roanna Gabrielle, Vania Robert Dwitama Adiwinoto Rokhmadhoni Pikir, Rizqi Rr. MUTIARA DEVANIA SAMARA QALBA Rusli, Christina S. Soedarsono Sadya Wendra SAES, JOVITASARI ELVIANA PUTRI Safira, Vita Sandy, Emy Noviana Santoso, Clara Cindy Ateng Saptono Putro Setyawan, Yuswanto Sianipar, Habel Ryan Annerico Soedarsono Soedarsono Soelistijo, Soebagijo Adi Sri Umijati STEFANUS DJONI HUSODO Sudiarta, Ketut Edy Sulistiawati Sulistiawati Sulistiawati Sulistiawati Sulistio, Timothy Sunur, Vincentius William Syahputri, Dewi Sylvia Rizki Tamam Jauhar Tasalina Yohana Parameswari Gustam Titong Sugihartono Ubaid, Angling Febriani Ariqoh Ulwani, Qulistan Balqis UNTARI, NI KOMANG SRI DEWI Usman Hadi Utami , Prawesty Diah Utami, Rina Mega Vivien Earlyanti, Callista Wahyu Prasasti Mutiadesi Wahyu Prasasti Mutiadesi Widati Fatmaningrum Widjajanto , Hendra Wijaya, Jennifer Wijaya, Rike Andy Wijayaningrum, Lena Zeeva, Evane Jovanie Zenjaya, Kellyn Trycia Zunnahri, Salsabila Qurrotul Aini