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Congenital corrected transposition of the great arteries: case report of three adults
Insights
Corrected transposition of the great arteries (CTGA) in adults is rare, especially with other heart defects. This study presents three adult CTGA cases with uncommon cardiac anomalies, highlighting diagnostic approaches.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Adult Congenital Heart Disease
Background:
- Corrected transposition of the great arteries (CTGA) is a complex congenital heart defect.
- CTGA is often associated with other cardiac anomalies, though rare combinations exist.
- Adult presentation of CTGA with unusual concomitant defects requires careful clinical evaluation.
Purpose of the Study:
- To describe three adult cases of CTGA with rare co-occurring cardiac anomalies.
- To illustrate the clinical findings and diagnostic modalities used in these complex cases.
- To contribute to the understanding of CTGA's varied presentations in adulthood.
Main Methods:
- Case series review.
- Clinical data collection and analysis.
- Diagnostic imaging including two-dimensional echocardiography and computed tomography.
Main Results:
- Case 1: 54-year-old male with CTGA and tricuspid regurgitation.
- Case 2: 31-year-old female with CTGA and atrial septal defect.
- Case 3: 21-year-old male with CTGA, partial pulmonary valve dysplasia, and mild pulmonary stenosis.
Conclusions:
- CTGA in adults can present with diverse and rare cardiac malformations.
- Multimodality imaging is crucial for diagnosing and managing complex CTGA cases.
- These cases underscore the importance of recognizing varied presentations of CTGA in adult congenital cardiology.
Abstract:
Three cases in adults of corrected transposition of the great arteries (CTGA) with concomitant fairly rare cardiac anomalies are described; a 54-year-old man with left sided atrio-ventricular valvular (tricuspid) regurgitation, a 31-year-old woman with atrial septal defect and a 21-year-old man with partial dysplasia of pulmonary valve with mild pulmonary stenosis. Clinical findings and diagnostic methods including two-dimensional echocardiography and computed tomography are discussed briefly.