Pulmonary artery aneurysm in an octogenarian with operated secundum atrial septal defect
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An 80-year-old female patient presented to our outpatient clinic because of dyspnea on minimal exertion lasting for 6 months. Her past medical history included a secundum type atrial septal defect corrected surgically 30 years earlier and hypertension controlled with valsartan 160 mg plus hydrochlorothiazide 12.5 mg. She had been doing well since then. She had been lost to follow-up until recently, and no imaging study was performed on the patient until presentation. She was active and had an acceptable quality of life. She had a 6-month history of progressive dyspnea, fatigue, and palpitations. Her functional capacity was NYHA class III. On physical examination, she had no cyanosis or clubbing, and there was P2 loudness on auscultation. O2saturation on room air was 90 %. An electrocardiogram showed atrial fibrillation, right axis deviation, and right bundle branch block. The patient’s mean heart rate was 80 bpm. A chest radiograph revealed enlargement in the right heart...
KeywordsPulmonary Hypertension Pulmonary Arterial Hypertension Patent Ductus Arteriosus Valsartan Atrial Septal Defect
Pulmonalarterienaneurysma bei einer 80-Jährigen mit operiertem Vorhofseptumdefekt vom Sekundum-Typ
Conflict of interest
On behalf of all authors, the corresponding author states that there are no conflicts of interest.
Video: Apical four chamber view demonstrates moderate degree tricuspit regurgitation, mild enlargement of the left atrium, right heart chambers with normal left ventricular contraction (AVI 13MB)