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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 the heart. Twelve-lead electrocardiography revealed rightward P wave axis, prominent anterior precordial forces with an R/S ratio in V1 approaching 1, and reverse precordial progression, suggestive of dextrocardia (figure 1), and confirmed by chest roentgenogram (figure …
Contributors ND: Literature search, writing the primary draft and image selection. BG and MO: review and correction of the manuscript.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.
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