Situs Inversus with Levocardia and Congenitally Corrected Transposition of Great Vessels in a 35 year old Male
A Case report
Keywords:
Congenitally Corrected, Levocardia, Situs InversusAbstract
Situs inversus with levocardia and congenitally corrected transposition of the great arteries represents a relatively very rare congenital condition and most patients are diagnosed in infancy or early age. This case report describes a 35-year old man with congenitally corrected transposition of the great arteries which presented with a five month history of exertional dyspnea. A diagnosis was confirmed by transesophageal echocardiogram, showing situs inversus, levocardia, atrioventricular and ventriculoarterial discordance. He underwent physiologic repair, and was discharged thirty five days after the operation, in a good general condition. Although management of the corrected transposition of the great arteries patients remains controversial, the recommendation is that physiologic repair may be the procedure of choice for some patients, particularly complicated cases.
References
Connelly MS, Liu PP, Williams WG, Webb GD, Robertson P, McLaughlin PR. Congenitally corrected
transposition of the great arteries in the adult: functional status and complications. J Am Coll Cardiol.
; 27(5): 1238-43. doi: 10.1016/0735-1097(95)00567-6. PMID: 8609349.
Kilner PJ, Geva T, Kaemmerer H, Trindade PT, Schwitter J, Webb GD. Recommendations for
cardiovascular magnetic resonance in adults with congenital heart disease from the respective working
groups of the European Society of Cardiology. Eur Heart J. 2010; 31(7): 794-805. doi:
1093/eurheartj/ehp586. PMID: 20067914, PMCID: PMC2848324.
Graf M, Zaczkiewicz M, Torzewski J, Zimmermann O. Atrial fibrillation-induced cardiac shock: first
manifestation of a congenitally corrected transposition of the great arteries in a 45-year-old man. Case
reports in cardiology. 2012; 2012: 4. doi: 10.1155/2012/126764.
Alghamdi AA, McCrindle BW, Van Arsdell GS. Physiologic versus anatomic repair of congenitally
corrected transposition of the great arteries: meta-analysis of individual patient data. Ann Thorac Surg.
; 81(4): 1529-35. doi: 10.1016/j.athoracsur.2005.09.035. PMID: 16564320.
Mah K, Friedberg MK. Congenitally Corrected Transposition of the Great Arteries Situs Solitus or
Inversus. Circulation: Cardiovascular Imaging. 2014; 7(5): 849-51. doi: 10.1161/circimaging.114.002277.
Kukreti BB, Ramakrishnan S, Bhargava B. Situs inversus with levocardia and congenitally corrected
transposition of great vessels with rheumatic tricuspid valve stenosis and regurgitation. Heart Views. 2011;
(4): 178-80. doi: 10.4103/1995-705X.90908. PMID: 22574246, PMCID: PMC3345156.
Kantarci M, Koplay M, Bayraktutan U, Gundogdu F, Ceviz N. Congenitally corrected transposition of the
great arteries: MDCT angiography findings and interpretation of complex coronary anatomy. The
international journal of cardiovascular imaging. 2007; 23(3): 405-10. doi: 10.1007/s10554-006-9156-x.
Allwork SP, Bentall HH, Becker AE, Cameron H, Gerlis LM, Wilkinson JL, et al. Congenitally corrected
transposition of the great arteries: morphologic study of 32 cases. Am J Cardiol. 1976; 38(7): 910-23. doi:
1016/0002-9149(76)90804-3. PMID: 998526.
Karl TR. The role of the Fontan operation in the treatment of congenitally corrected transposition of the
great arteries. Ann Pediatr Cardiol. 2011; 4(2): 103-10. doi: 10.4103/0974-2069.84634. PMID: 21976866,
PMCID: PMC3180964.
Devaney EJ, Charpie JR, Ohye RG, Bove EL. Combined arterial switch and Senning operation for
congenitally corrected transposition of the great arteries: patient selection and intermediate results. J Thorac
Cardiovasc Surg. 2003; 125(3): 500-7. doi: 10.1067/mtc.2003.158. PMID: 12658191.
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