A 63-year-old woman with essential hypertension treated with valsartan mg/day), essential tremor in treatment focusing on other medications (and days), chronic venous insufficiency in lower limbs treated with hygienic measures.
She came to the internal medicine outpatient clinic for evaluation and follow-up of the clinical picture of chronic venous insufficiency in the lower limbs, without referring any other symptoms.
Physical examination was normal, except for the presence of systolic murmur grade II/VI on left edge auscultation and signs of chronic venous insufficiency in lower limbs.
Complete blood count, ESR, coagulation, biochemistry and urine were normal.
ECG: normal.
Chest radiography: well-defined vascular image at the level of the left upper mediastinum.
Doppler echocardiography: normal.
Chest CT with intravenous contrast: aneurysmal dilatation of the left pulmonary artery of 47x75 mm in diameter, with no other findings.
Cardiac catheterization with pulmonary and coronary angiography: coronary arteries without lesions and aneurysmal dilatation of the pulmonary artery trunk and left pulmonary artery.
The patient was referred to the Department of Cardiovascular Surgery of reference, where she underwent surgical intervention. During the surgical procedure, the right pulmonary artery of normal caliber was objectified and a partial resection and an asymptomatic diameter of the left pulmonary arteries was performed.
