Can J Cardiol. 2019 Nov;35(11):1605.e1-1605.e3. doi: 10.1016/j.cjca.2019.08.019. Epub 2019 Aug 22.
An Elderly Woman with Exertional Dyspnoea and T-Wave Inversions on Electrocardiography.
We present a case of a 75-year-old woman with cardiac dextroposition who presented for preoperative cardiac evaluation because of exertional dyspnoea. On examination, heart sounds were best appreciated on the right, and bowel sounds were heard over the left hemithorax. Electrocardiography showed widespread T-wave inversions. No coronary artery ischemia was found. A large congenital diaphragmatic hernia with displacement of the heart to the right was found on chest radiography and confirmed on computed tomography. Surgery was subsequently uneventful. In conclusion, thorough pulmonary auscultation to detect bowel sounds in the thorax increases clinical suspicion of cardiac dextroposition.
Copyright © 2019 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.PMID: 31679630 DOI: 10.1016/j.cjca.2019.08.019