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A 15-year-old boy presented with low-grade fever, frontal headache and projectile vomiting. Physical examination revealed clubbing, central cyanosis and systolic murmur at the base of heart. Electrocardiogram revealed rightward P wave axis, prominent anterior precordial forces with an R/S ratio in V1 that approaches 1 and reverse precordial progression, suggestive of dextrocardia (figure 1), which was confirmed by chest roentgenogram (figure …
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