Giant, high pressure pulmonary artery aneurysm in a grand multiparous woman

A 33-year-old woman in the ninth week of her eighth pregnancy was referred to our clinic because of dyspnoea on mild exertion. She had had seven uncomplicated pregnancies in her past medical history. Physical examination revealed a grade 3/6 systolic murmur in the pulmonary area. The electrocardiogram showed right bundle branch block and right ventricular strain pattern. Transthoracic echocardiogram revealed an aneurysm of the pulmonary artery with extremely high pulmonary artery pressure and right ventricular hypertrophy (figure 1). She was offered medical abortion.