DOI: 10.5935/abc.20170157 Clinical data: Three months ago, there were retrosternal pain, fatigue and tachycardia (170 bpm) for atrial flutter reversed with amiodarone. Thoracic tomography revealed a giant aneurysm of the… Click to show full abstract
DOI: 10.5935/abc.20170157 Clinical data: Three months ago, there were retrosternal pain, fatigue and tachycardia (170 bpm) for atrial flutter reversed with amiodarone. Thoracic tomography revealed a giant aneurysm of the left coronary artery. Corrected atrial septal defect at 3 years of age. He has active life with moderate sport. Corrected cryptorchidism at 12 years of age with impairment of fertility. Physical examination: good general condition, eupneic, acyanotic, normal pulses on the 4 limbs. Weight: 88 Kgs, H: 172 cm, upper extremity blood pressure: 130/80 mmHg, HR: 60 bpm. Aorta not palpated at the suprasternal notch. Precordium: non-palpable ictus cordis, without systolic impulses. Hypofonetic heart sounds, without heart murmurs. Unpalpable liver and clean lungs.
               
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