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Gepubliceerd in: Netherlands Heart Journal 2/2020

Open Access 23-07-2019 | Image Puzzle – Question

A 55-year-old man with mild shortness of breath

Auteurs: A. D. Egorova, J. M. Smit, P. Kiès

Gepubliceerd in: Netherlands Heart Journal | Uitgave 2/2020

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ZOEKEN
A 55-year-old male was referred by his general practitioner due to mild complaints of shortness of breath (no angina) upon exertion. He used to work as a gym teacher at a secondary school and currently exercises intensively for up to 10 h a week. His father died suddenly at the age of 52 years while cross-country skiing. No autopsy was performed. The patient is being treated with perindopril 2 mg once a day due to hypertension and has a blood pressure of 140/90 mm Hg and a resting peripheral O2 saturation of 97% when breathing room air. Electrocardiography showed sinus rhythm with normal de- and repolarisation and a physical examination did not reveal any abnormalities. Transthoracic echocardiography showed normal biventricular and valvular function. Chest radiography revealed an abnormality and prompted further investigation by computed tomography (Fig. 1a–c).
What is the most likely diagnosis?
A.
Acute aortic syndrome
 
B.
Persistent left superior vena cava
 
C.
Right-sided aortic arch with an aberrant left subclavian artery
 
D.
Double aortic arch
 

Answer

You will find the answer elsewhere in this issue.
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://​creativecommons.​org/​licenses/​by/​4.​0/​), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
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Metagegevens
Titel
A 55-year-old man with mild shortness of breath
Auteurs
A. D. Egorova
J. M. Smit
P. Kiès
Publicatiedatum
23-07-2019
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 2/2020
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-019-01312-0

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