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This video presents a real echocardiographic case of a Patent Ductus Arteriosus (PDA) detected in a 51-year-old woman with recurrent chest pain during sudden or intense physical activity. Although congenital heart defects (CHD) are typically diagnosed in childhood, undiagnosed PDA can remain silent for decades and only become symptomatic in adulthood. 🫀 Key clinical details: • recurrent chest pain during sudden exertion • normal cardiovascular risk profile • subtle systolic murmur on examination • normal ECG • echo with a characteristic “jet” entering the pulmonary artery trunk — typical for PDA • no LV dysfunction or dilation • mild shunt, but pressure-dependent increase in flow explaining the symptoms PDA is a persistent vascular connection between the aorta and the pulmonary artery, physiologically open in fetal circulation. If it remains patent after birth, it may lead to: chamber enlargement pulmonary overcirculation heart failure exertional symptoms in selected cases, risk of endocarditis In this patient, the PDA was small but hemodynamically relevant during intense exertion. Further evaluation (TEE, CT angiography) and closure qualification are recommended. 🎥 About the video The echocardiographic clip demonstrates: the location of the PDA jet pulmonary artery flow pattern normal LV systolic function absence of structural abnormalities except the ductal shunt 🔔 Subscribe for more echo cases, congenital heart disease findings, and cardio-oncology/cardiology educational content.