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Congenitally corrected transposition of the great arteries (L transposition)
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A 48 year old woman under went diagnostic coronary angiography for atypical chest pains. During catheterisation the aorta was seen to be in an abnormal anterior position and subsequent cannulation of the coronary circulation proved extremely difficult requiring multiple catheters. Eventually a single coronary artery was cannulated, which was normal.
Subsequent transthoracic and transoesophageal echocardiography was arranged which revealed that the …