A 36-year-old woman with a history of dextrocardia and dyspnea. Diagnosis: unilateral absence of a pulmonary artery (UAPA) with right hypoplastic lung.

摘要

Case Report:A 36-year-old woman with a history of dextrocardia presented to the clinic for evaluation of several months of exertional dyspnea. She denied any cough, wheezing, fever, chills or rigors, as well as any orthopnea, leg edema or hemoptysis. Past medical history was significant for tachycardia, orthostatic hypotension, dextrocardia diagnosed 15 years ago, hyperlipidemia and chronic headaches. She had a history of endometrial ablation in May 2007. She had had an uneventful pregnancy 10 years ago. Current medications included nadolol 20 mg twice a day. Family history was not significant for any cardiac or pulmonary disease. She had worked at a childcare center in the past but was now a student. She denied any smoking history and drank 1-2 glasses of wine per week.