en عمومى General گزارش مورد case report <strong>Background: </strong>Patent ductus arteriosus (PDA) is one of the most common congenital heart &lrm;defects. It is usually diagnosed and treated soon after birth with only a few appearing in adults. &lrm;Here we present a case of PDA with calcifications diagnosed at the age of 46 years. &lrm;Cardiological experts suspected multiple PDAs in this patient which can be the only case to &lrm;have appeared since we did not find any in the existing literature.&lrm;<br> <strong>Case Presentation: </strong>A 50-years-old female presented with shortness of breath and palpitations &lrm;since one month. Symptoms first started in 2002 and PDA was diagnosed in 2014. Family &lrm;history is positive for cardiovascular diseases. Echocardiography done in our setup showed &lrm;PDA with low pressure along with left ventricular dilation and reduced ejection fraction. &lrm;Electrocardiogram showed atrial fibrillation. She went for transcatheter closure of PDA but was &lrm;abandoned due to calcifications and multiple PDAs. She was then discharged on medications &lrm;and called for follow-up for referral to surgical department but the patient refused to have any &lrm;further intervention.&lrm;<br> <strong>Conclusion: </strong>This occurrence of PDA at this stage of life shows the lack of resources in various &lrm;parts of our developing country. All required investigations should be done at their appropriate &lrm;time according to signs and symptoms so that each case is managed appropriately.&lrm; Patent Ductus Arteriosus, Adult, Multiple PDA, Palpitation, Congenital Heart ‎Disease, Dyspnea 194 198 http://intjmi.com/browse.php?a_code=A-10-1-362&slc_lang=en&sid=1 Lajpat Rai 10031947532846004250 10031947532846004250 No Postgraduate Trainee, Jinnah Postgraduate Medical Centre, Karachi, Pakistan Uzair Yaqoob 10031947532846004251 10031947532846004251 Yes ‎House officer, Jinnah Postgraduate Medical Centre, Karachi, Pakistan. ‎ Waleed Azam 10031947532846004252 10031947532846004252 No Postgraduate Trainee, National institute of cardiovascular diseases, Karachi, ‎Pakistan Hanisha Khemani 10031947532846004253 10031947532846004253 No Postgraduate Trainee, Jinnah Postgraduate Medical Centre, Karachi, Pakistan Faizan ul-Haq 10031947532846004254 10031947532846004254 No Resident medical officer, Tabba Heart institute, Karachi, Pakistan. ‎