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A woman in her 60s with a medical history of hypertension, dyslipidaemia, overweight and chronic plaque psoriasis was referred to cardiology for symptoms of dyspnoea on moderate exertion. Physical examination was unremarkable except for a significantly displaced apical impulse to the left. The transthoracic echocardiography revealed a cardiac malposition with posterior apex and a right-positioned aortic arch. The ECG showed sinus rhythm, right axis deviation and signs of enlargement of the right chambers. A cardiac magnetic resonance (CMR) imaging was then performed (figure 1A,B …
Contributors MS: design, acquisition, analysis and interpretation of data for the work, and manuscript drafting. VHP, AS: final approval of the version to be published.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.
Provenance and peer review Not commissioned; internally peer reviewed.
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