Adolescent With Chest Pain

A 16-year-old male adolescent with a history of short-chain acyl coenzyme A dehydrogenase deficiency and bicommissural aortic valve presented to the emergency department with 3 months of intermittent episodes of chest pain, emesis, and low-grade fevers. Physical examination demonstrated normal vital signs and unremarkable results aside from developmental delay. A chest radiograph demonstrated severe enlargement of the cardiac silhouette (Figure 1).

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