Congenital Corrected Transposition of the Great Vessels in a 58-Year-Old Man

Benchimol, Alberto; Tio, Stephen; Sundararajan, Vijaya

doi:10.1378/chest.59.6.634

Cited by 18 publications

(2 citation statements)

References 9 publications

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“…A number of reports of adults aged 60 to 80 years with AV discordance suggest that the morphologic right ventricle may function successfully as the systemic ventricle for a normal life span in patients with no major associated lesions. [5][6][7][8][9] Radionuclide assessment of ventricular function supports this as well. 10 In contrast, data from Peterson and associates 11 suggested that patients with AV discordance have an abnormal exercise response in that they failed to increase their systemic ejection fraction with exercise.…”

Section: Discussionmentioning

confidence: 63%

Atrioventricular discordance: Results of repair in 127 patients

Yeh

Connelly

Coles

et al. 1999

The Journal of Thoracic and Cardiovascular Surgery

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Section: Discussionmentioning

confidence: 63%

Atrioventricular discordance: Results of repair in 127 patients

Yeh

Connelly

Coles

et al. 1999

The Journal of Thoracic and Cardiovascular Surgery

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“…Pathologic reviews at autopsy of patients with ccTGA revealed systemic AV valve anomalies in 91-97% of cases and a VSD in 78%. 3,4 Though some patients without associated anomalies may not be diagnosed until later in life, [5][6][7] patients with ccTGA often present in infancy or childhood with symptoms of congestive heart failure secondary to a VSD. 8 Surgical planning for patients with ccTGA is related to the presence of a VSD, pulmonary stenosis, and the state of the right ventricle.…”

Section: Discussionmentioning

confidence: 99%

Congenitally Corrected Transposition of the Great Arteries and Concomitant Coronary Artery and Valvular Disease in the Adult Patient

Stern

Steiner

Bello

et al. 2010

Congenital Heart Disease

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Congenitally corrected transposition of the great arteries (ccTGA) accounts for less that 1% of cardiac anomalies, and is defined as ventriculoarterial and atrioventricular (AV) discordance. The double discordant connection allows for survival with the right ventricle performing as the systemic ventricle, and the left ventricle as the pulmonary ventricle. We report a case of ccTGA in a 35-year-old male with situs inversus totalis status post repair of a ventricular septal defect (VSD) with a residual VSD, severe systemic AV valve regurgitation, and coronary artery disease who presented with chest pain. He subsequently underwent tricuspid valve replacement and VSD repair, followed by percutaneous coronary revascularization. This case highlights many important issues of adults with congenital cardiac disease, as well as the specific surgical management of anomalies associated with ccTGA. We review the literature and discuss the management of these complicated patients.

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2003

The Natural and Modifed History of Congenital Heart Disease

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Congenital Corrected Transposition of the Great Vessels in a 58-Year-Old Man

Cited by 18 publications

References 9 publications

Atrioventricular discordance: Results of repair in 127 patients

Atrioventricular discordance: Results of repair in 127 patients

Congenitally Corrected Transposition of the Great Arteries and Concomitant Coronary Artery and Valvular Disease in the Adult Patient

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