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Updated: Dec 11, 2025

Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
Congenitally corrected transposition of the great arteries
Tracy Halvorson1, John Blau1, Dennis Firchau1
1Department of Pathology, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242.
Insights
Congenitally corrected transposition of the great arteries (cc-TGA) is a rare heart defect. This autopsy case highlights cc-TGA pathology and the risk of fatal arrhythmias in affected adults.
Area of Science:
- Cardiology
- Pathology
- Medical Genetics
Background:
- Congenitally corrected transposition of the great arteries (cc-TGA), or L-transposition, is a rare congenital heart defect affecting approximately 0.5% of cases.
- cc-TGA is defined by atrioventricular and ventriculoarterial discordance, leading to abnormal blood flow through the heart.
- Patients with cc-TGA have an increased risk of cardiac arrhythmias due to conduction system abnormalities.
Abstract:
Congenitally corrected transposition of the great arteries (cc-TGA, also known as L-transposition) is a rare condition that represents approximately 0.5% of congenital heart disease. It is characterized by atrioventricular and ventriculoarterial discordance. Patients with cc-TGA are at risk for cardiac arrhythmias due to abnormalities of the conduction system. We present an autopsy case of a 49-year-old man with cc-TGA who died unexpectedly, likely as a result of a fatal arrhythmia. This case illustrates the cardiac pathology characteristic of cc-TGA and describes how to grossly identify inversion of the atrioventricular valves.
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