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Herz

, Volume 39, Issue 5, pp 657–660 | Cite as

Pulmonary artery aneurysm in an octogenarian with operated secundum atrial septal defect

  • T. BezginEmail author
  • A. Elveran
  • A. Karagöz
  • C. Doğan
  • A.M. Esen
e-Herz: Case study
  • 86 Downloads

Case report

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...

Keywords

Pulmonary Hypertension Pulmonary Arterial Hypertension Patent Ductus Arteriosus Valsartan Atrial Septal Defect 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Pulmonalarterienaneurysma bei einer 80-Jährigen mit operiertem Vorhofseptumdefekt vom Sekundum-Typ

Notes

Conflict of interest

On behalf of all authors, the corresponding author states that there are no conflicts of interest.

Supplementary material

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)

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Copyright information

© Urban & Vogel 2014

Authors and Affiliations

  • T. Bezgin
    • 1
    Email author
  • A. Elveran
    • 1
  • A. Karagöz
    • 1
  • C. Doğan
    • 1
  • A.M. Esen
    • 1
  1. 1.Cardiology ClinicKartal Koşuyolu Heart&Research HospitalCevizli Kartal-İstanbulTurkey

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