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Case Reports
. 2013 Apr 29:2013:bcr2012008354.
doi: 10.1136/bcr-2012-008354.

Acute coronary syndrome in congenitally corrected transposition of the great arteries

Affiliations
Case Reports

Acute coronary syndrome in congenitally corrected transposition of the great arteries

Konstantinos M Lampropoulos et al. BMJ Case Rep. .
No abstract available

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Figures

Figure 1
Figure 1
ECG on admission suggestive of ischaemia.
Figure 2
Figure 2
(A) Aortography demonstrated anomalous origin of the coronary arteries with the left coronary originating from the right sinus of Valsalva and the right coronary artery originating from the left sinus of Valsalva. Both coronaries were disease free. (B) CT angiography demonstrated anomalous origin of the coronary arteries with the left coronary originating from the right sinus of Valsalva and the right coronary artery originating from the left sinus of Valsalva. Both coronaries were disease free. (C) MRI shows congenitally corrected transposition of the great arteries and the ventricles of the heart. Atrioventricular and ventriculoarterial discordance is displayed. (D) MRIs of congenitally corrected transposition of the great arteries and the ventricles of the heart. Double atrioventricular and ventriculoarterial discordance is evident.
Figure 3
Figure 3
Thallium scintigram revealed both at rest and on exertion increased radiotracer uptake for the right (functionally left) ventricle, probably owing to its compensatory hypertrophy. There was no reversible perfusion defect suggestive of myocardial ischaemia.

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