Case 3 / 2018 – Corrected Transposition of the Great Arteries with Natural Progression to Severe Biventricular Dysfunction and No Associated Defects in a 51-Year Old Man

Clinical data

Dyspnea on exertion for two years, progressing to low cardiac output and syncope lately, treated with dobutamine and usual drugs for congestive heart disease (currently using furosemide 40 mg, spironolactone 25 mg and losartan 12.5 mg).

Physical examination: Good general condition, eupneic, acyanotic, normal pulse rate in the four limbs. Weight: 70 Kg, Height: 160 cm, blood pressure (right arm): 90/60 mmHg, HR: 94 bpm.

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