Case 2/2014 – 20-year-old Woman with Corrected Transposition, Pulmonary Atresia and Aortopulmonary Collateral Arteries

Complementary tests

Electrocardiogram () showed junctional rhythm and signs of left ventricular overload on the right. The P wave was negative in II, III, aVF and precordial areas. The QRS complex morphology was RS in V1, rs in V6 and Rs in V6R. The T wave was negative in I, L and more positive in V6R than in V6. AQRS: +160º, AT: 120º, AP: −80º.

Chest radiography shows normal cardiac silhouette (cardiothoracic ratio = 0.45) on the right in situs solitus (gastric bubble on the left) with rounded right ventricular arch. The upper arch on the left was long. Normal pulmonary vasculature and moderate scoliosis ().

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