Document Detail


Congenitally corrected transposition of the great arteries and concomitant coronary artery and valvular disease in the adult patient.
MedLine Citation:
PMID:  21106026     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
David R Stern; Craig Steiner; Ricardo A Bello; Nicole Sutton; Daniel M Spevack; Galina Leyvi; Robert E Michler; David A D'Alessandro; Samuel Weinstein
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Congenital heart disease     Volume:  5     ISSN:  1747-0803     ISO Abbreviation:  Congenit Heart Dis     Publication Date:    2010 Nov-Dec
Date Detail:
Created Date:  2010-11-25     Completed Date:  2011-03-10     Revised Date:  2011-05-05    
Medline Journal Info:
Nlm Unique ID:  101256510     Medline TA:  Congenit Heart Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  629-34     Citation Subset:  IM    
Copyright Information:
© 2010 Copyright the Authors. Congenital Heart Disease © 2010 Wiley Periodicals, Inc.
Affiliation:
Department of Cardiothoracic Surgery, Albert Einstein College of Medicine, Montefiore/Einstein Heart Center, New York, USA. dastern@montefiore.org
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple*
Adult
Angina Pectoris / etiology
Angioplasty, Balloon, Coronary
Atrioventricular Block / etiology,  therapy
Cardiac Pacing, Artificial
Coronary Angiography
Coronary Stenosis / complications*,  radiography,  therapy
Electrocardiography
Heart Septal Defects, Ventricular / complications,  surgery
Heart Valve Prosthesis Implantation
Humans
Male
Situs Inversus / complications,  radiography
Tomography, X-Ray Computed
Transposition of Great Vessels / complications,  radiography
Treatment Outcome
Tricuspid Valve Insufficiency / complications*,  radiography,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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