Congenital Corrected Transposition of Great Arteries in Adults with Varied Presentation
Congenital corrected transportation of great arteries (ccTGA) is a rare congenital heart disease, accounting for < 1% of congenital heart diseases. It remains undiagnosed until adulthood, in the absence of associated congenital anomalies. Adults with ccTGA are usually asymptomatic or their diagno...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Journal of the Practice of Cardiovascular Sciences |
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| Online Access: | https://journals.lww.com/10.4103/jpcs.jpcs_83_23 |
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| author | Akshay Narendra Kotasthane Susheel K. Malani Chigullapalli Sridevi Digvijay D Nalawade |
| author_facet | Akshay Narendra Kotasthane Susheel K. Malani Chigullapalli Sridevi Digvijay D Nalawade |
| author_sort | Akshay Narendra Kotasthane |
| collection | DOAJ |
| description | Congenital corrected transportation of great arteries (ccTGA) is a rare congenital heart disease, accounting for < 1% of congenital heart diseases. It remains undiagnosed until adulthood, in the absence of associated congenital anomalies. Adults with ccTGA are usually asymptomatic or their diagnosis may be missed during initial evaluation. It is sometimes diagnosed inadvertently while evaluating a murmur or a low heart rate. We aim to report three cases of ccTGA with varied presentations. We presented three cases of ccTGA with varied presentation, two cases of complete heart block requiring permanent pacemaker, out of which one had situs inversus totalis with levocardia, the other had situs solitus. The 3rd case was presented as case of ccTGA with heart failure with viseroarterial situs solitus, large atrial septal defect, large inlet ventricular septal defect, and severe pulmonary stenosis and had undergone bidirectional Glenn shunt. These cases illustrate the challenges confronted in adult practices when patient with unrecognized ccTGA presents during initial visits. Congenital corrected transposition of great arteries is rare congenital anomaly that poses a challenge in adulthood due to its varied presentation. Thus, an increased awareness about key diagnostic features is crucial for early recognition of ccTGA and its effective management. |
| format | Article |
| id | doaj-art-ea965bc8c5c14d32a47df265e6ee54af |
| institution | Kabale University |
| issn | 2395-5414 2454-2830 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of the Practice of Cardiovascular Sciences |
| spelling | doaj-art-ea965bc8c5c14d32a47df265e6ee54af2025-01-14T05:56:46ZengWolters Kluwer Medknow PublicationsJournal of the Practice of Cardiovascular Sciences2395-54142454-28302024-12-0110319720210.4103/jpcs.jpcs_83_23Congenital Corrected Transposition of Great Arteries in Adults with Varied PresentationAkshay Narendra KotasthaneSusheel K. MalaniChigullapalli SrideviDigvijay D NalawadeCongenital corrected transportation of great arteries (ccTGA) is a rare congenital heart disease, accounting for < 1% of congenital heart diseases. It remains undiagnosed until adulthood, in the absence of associated congenital anomalies. Adults with ccTGA are usually asymptomatic or their diagnosis may be missed during initial evaluation. It is sometimes diagnosed inadvertently while evaluating a murmur or a low heart rate. We aim to report three cases of ccTGA with varied presentations. We presented three cases of ccTGA with varied presentation, two cases of complete heart block requiring permanent pacemaker, out of which one had situs inversus totalis with levocardia, the other had situs solitus. The 3rd case was presented as case of ccTGA with heart failure with viseroarterial situs solitus, large atrial septal defect, large inlet ventricular septal defect, and severe pulmonary stenosis and had undergone bidirectional Glenn shunt. These cases illustrate the challenges confronted in adult practices when patient with unrecognized ccTGA presents during initial visits. Congenital corrected transposition of great arteries is rare congenital anomaly that poses a challenge in adulthood due to its varied presentation. Thus, an increased awareness about key diagnostic features is crucial for early recognition of ccTGA and its effective management.https://journals.lww.com/10.4103/jpcs.jpcs_83_23complete heart blockcongenital corrected transposition of great arteriesheart failurepermanent pacemaker implantation |
| spellingShingle | Akshay Narendra Kotasthane Susheel K. Malani Chigullapalli Sridevi Digvijay D Nalawade Congenital Corrected Transposition of Great Arteries in Adults with Varied Presentation Journal of the Practice of Cardiovascular Sciences complete heart block congenital corrected transposition of great arteries heart failure permanent pacemaker implantation |
| title | Congenital Corrected Transposition of Great Arteries in Adults with Varied Presentation |
| title_full | Congenital Corrected Transposition of Great Arteries in Adults with Varied Presentation |
| title_fullStr | Congenital Corrected Transposition of Great Arteries in Adults with Varied Presentation |
| title_full_unstemmed | Congenital Corrected Transposition of Great Arteries in Adults with Varied Presentation |
| title_short | Congenital Corrected Transposition of Great Arteries in Adults with Varied Presentation |
| title_sort | congenital corrected transposition of great arteries in adults with varied presentation |
| topic | complete heart block congenital corrected transposition of great arteries heart failure permanent pacemaker implantation |
| url | https://journals.lww.com/10.4103/jpcs.jpcs_83_23 |
| work_keys_str_mv | AT akshaynarendrakotasthane congenitalcorrectedtranspositionofgreatarteriesinadultswithvariedpresentation AT susheelkmalani congenitalcorrectedtranspositionofgreatarteriesinadultswithvariedpresentation AT chigullapallisridevi congenitalcorrectedtranspositionofgreatarteriesinadultswithvariedpresentation AT digvijaydnalawade congenitalcorrectedtranspositionofgreatarteriesinadultswithvariedpresentation |