Arteritis de Takayasu con pulmonares estenosis severa de ramas principales / Takayasu's arteritis with severe stenosis of main pulmonary artery branches

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.