Case 36041

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Abstract
Presentation of CaseA thirty-four-year-old man, an office clerk, was admitted to the hospital because of exertional dyspnea.Twenty-one years before admission he was told that he had a spinal deformity that necessitated the wearing of a brace. Twenty years before entry he first noted moderately severe dyspnea on climbing stairs or exercising. There was no history of orthopnea, cyanosis or peripheral edema. He had noted that the neck veins occasionally appeared dilated. Nineteen years before admission he was told that he had dextrocardia and also that he had only one lung. Nine years before entry he was told that . . .
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