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Ann Thorac Surg 2003;76:1748
© 2003 The Society of Thoracic Surgeons
a Department of Cardiology, Leiden University Medical Center, Leiden, Netherlands
b Department of Radiology, Leiden University Medical Center, Leiden, Netherlands
c Department of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, Netherlands
d Interuniversity Cardiology Institute of the Netherlands, Utrecht, Netherlands
* Address reprint requests to Dr Vliegen, Leiden University Medical Center, Department of Cardiology (C5-P), PO Box 9600, 2300 RC Leiden, Netherlands.
e-mail: h.w.vliegen@lumc.nl
| The first 20% of the full text of this article appears below. |
A 25-year-old woman presented with episodes of palpitations, near-collapse, and chest pain. Physical examination revealed no abnormalities. Resting electrocardiogram showed sinus rhythm, normal heart axis without conduction abnormalities, and inverted T waves in leads V1 through V3. Laboratory tests and chest roentgenogram were normal. During exercise testing a nonsustained ventricular tachycardia (230 beats per minute) occurred. Coronary angiography showed an anomalous origin of the right coronary artery (RCA) from
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