Massively enlarged pulmonary arteries due to an atrial septal defect
Diagnosis almost certain
Presentation
Shortness of breath, known atrial septal defect.
Patient Data
Age: 40 years
Gender: Female
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Massively enlarged pulmonary arteries, lungs clear, no pleural effusion.
Case Discussion
This patient developed pulmonary hypertension secondary to a left to right shunt caused by a secundum type atrial septal defect seen on an echocardiogram (not shown). Other left to right shunts that may result in pulmonary hypertension include ventricular septal defect and patent ductus arteriosus.