Pablo Flores, Nicolás González, Carlos Astudillo
A 40-year-old woman consulted for progressive dyspnea. Physical examination revealed systolic murmurs in the upper thoracic area and asymmetric pulses in the upper extremities. Echocardiography revealed a 117-mmHg systolic gradient across the tricuspid valve and CT angiography revealed severe stenosis of pulmonary artery branches. A discussion of the disease is included.
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