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European Journal of Heart Failure 2008 10(8):811-813; doi:10.1016/j.ejheart.2008.06.006
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© 2008 European Society of Cardiology

A case of congenital cardiomyopathy with acute heart failure

Riccardo Ieva, Michele Correale* and Matteo Di Biase

Department of Cardiology, University of Foggia Italy

* Corresponding author. Department of Cardiology, "Ospedali Riuniti" OO.RR, viale L Pinto, 1. 71100 Foggia, Italy. Tel.: +39 0881733652; fax +39 0881745424. E-mail address: opsfco{at}tin.it (M. Correale).


   Abstract

A 45-year-old woman was admitted to our cardiology department for palpitations and dyspnoea. She had previously been investigated by echocardiography several times, resulting in a diagnosis of hypertrophic cardiomyopathy. However, a congenitally corrected transposition of the great arteries was diagnosed by our echocardiographic examination. The patient underwent electrophysiological evaluation and the accessory pathway was successfully ablated by applying radiofrequency pulses. This case report identifies that in patients with congenitally corrected transposition of the great arteries the primary diagnosis by echocardiography can sometimes be missed and that these patients are increasingly liable to develop Congestive Heart Failure with advancing age. In order to avoid diagnostic mistakes, more widespread dissemination of information about this congenital heart defect is essential.

Key Words: Congenitally corrected transposition of the great arteries • Congenital heart disease • Transoesophageal echocardiography • Heart failure • Cardiac imaging

Received February 17, 2008; Revised April 8, 2008; Accepted June 9, 2008


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