Document Detail

Corrected transposition of the great arteries simulating coronary heart disease in adults.
MedLine Citation:
PMID:  1248274     Owner:  NLM     Status:  MEDLINE    
Two middle-aged adults with corrected transposition of the great arteries presented with chest pain and dyspnea, initially attributed to coronary arterial disease with left ventricular dysfunction and mitral regurgitation. The clinical diagnosis of coronary arterial disease was supported in these patients by electrocardiographic changes of probable old anteroseptal myocardial infarction and by an abnormal cardiac silhouette on the chest x-ray film suggestive of ventricular aneurysm. Coronary arteriographic studies in both patients showed that the morphologic left coronary artery supplied the venous ventricle, and the right coronary artery supplied the systemic ventricle. Neither patient had coronary arterial luminal narrowing. We propose that anginal chest pain in these patients resulted from inadequate coronary reserve of the morphologic right ventricle functioning as a systemic ventricle.
R Selden; R A Schaefer; B J Kennedy; W A Neill
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chest     Volume:  69     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  1976 Feb 
Date Detail:
Created Date:  1976-04-15     Completed Date:  1976-04-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  188-91     Citation Subset:  AIM; IM    
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MeSH Terms
Coronary Angiography
Coronary Disease / radiography*
Diagnosis, Differential
Middle Aged
Transposition of Great Vessels / radiography*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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