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Updated: Jul 25, 2026

Morphological and Functional Assessment of the Right Ventricle Using 3D Echocardiography
Published on: October 28, 2020
[Clinical diagnosis of corrected transposition of the great vessels by bulbo-ventricular inversion]
Insights
This study identifies key diagnostic signs for corrected transposition of great vessels (CTGV), distinguishing it from associated malformations. Early detection of CTGV is crucial for patient outcomes.
Area of Science:
- Pediatric Cardiology
- Congenital Heart Disease
- Diagnostic Imaging
Context:
- Corrected transposition of great vessels (CTGV) presents diagnostic challenges, often obscured by associated malformations.
- Accurate diagnosis is essential for appropriate management and improved patient outcomes.
Purpose:
- To elucidate specific clinical and radiographic signs for diagnosing corrected transposition of great vessels (CTGV).
- To differentiate CTGV from co-occurring congenital anomalies.
Summary:
- Analyzed 29 cases of CTGV, including isolated and associated malformations.
- Identified specific clinical signs: a subtle systolic ejection murmur and a loud second heart sound in the left upper sternal border.
- Detailed radiographic findings: aortic arch position, inferior left margin contour, and characteristic esophageal imprints in oblique views.
Impact:
- Aids clinicians in the precise diagnosis of CTGV.
- Facilitates differentiation from complex congenital heart disease presentations.
- Enhances diagnostic accuracy through a combination of auscultation and radiographic interpretation.
Abstract:
29 cases of corrected transposition of great vessels (CTGV), of which 3 cases were isolated and 26 cases were associated with various malformations were studied. The aim was to make the diagnosis of CTGV were made evident, to differentiate those which came from the associated malformations. The specific signs for CTGV are as follows: 1) a slight systolic ejection murmur at the 2nd or 3rd left intercostal space along the sternal margin; 2) a loud 2nd tone in the same focal zone. Specific radiographic signs are that: 1) the aortic arch comes up to sternal-costal articulation; 2) the inferior left margin has a convex form; 3) in the right oblique-anterior projection it is possible to see 2 imprints on the opaque esophagus, which is represented by the aorta above and pulmonary artery below...
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