Cardionerds: A Cardiology Podcast

421. Case Report: Switched at Birth: A Case of Congenital Heart Disease Presenting in Adulthood – New York Presbyterian Queens 

Jul 10, 2025
Joining the discussion are Su Yuan, an adult congenital heart disease expert from New York Presbyterian, alongside first-year fellows Ayan Purkayastha and David Song. They explore an intriguing case of a 53-year-old woman with atypical chest pain linked to congenitally corrected transposition of the great arteries. The team dives into the complexities of diagnosing dextrocardia and managing unique cardiac conditions in adults. Insightful reflections on patient communication and ongoing care highlight the challenges and innovations in treating congenital heart disease.
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INSIGHT

Assess Chest Pain Risk Thoroughly

  • Typical chest pain with risk factors merits evaluation for unstable angina.
  • Ethnicity and LDL are important when considering cardiovascular risk assessment.
INSIGHT

Dextrocardia Diagnostic Clues

  • Dextrocardia requires evaluation of the position of the aortic arch and gastric bubble for diagnosis.
  • ECG characteristics can help distinguish dextrocardia from lead reversal.
INSIGHT

Imaging Reveals CCTGA Diagnosis

  • Echo findings of systemic right ventricle with reduced function support diagnosis of CCTGA.
  • Coronary CTA can confirm vessel positioning and assess coronary artery disease.
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