Congenitally corrected transposition of the great arteries associated with total situs inversus in an asymptomatic patient

Tavil, Yusuf

Yusuf Tavil

Department Of Cardiology, Gazi University, Ankara, Turkey

Corrected transposition of the great arteries (c-TGA) is a complex and unusual abnormality occurring in less than 1 percent of people with congenital heart disease. This condition involves atrioventricular discordance and ventriculoarterial discordance (double discordance). Associated anomalies occur in up to 98% in some series and consist of VSD (75% of cases), pulmonary or subpulmonary stenosis (75% of cases) and systemic (tricuspid) valve anomalies (Ebstein-like in 30% of cases). Only 1-10% of individuals with c-TGA have no associated defects.
We report a case of an asymptomatic 46-year-old man with c-TGA with situs inversus totalis. He was referred by a general practitioner because of abnormal auscultation findings (Heart sounds were noted to be louder over the right precordium with the point of maximal impulse on the right side of the chest and 2/6-degree systolic murmur on the right sternal border). Follow-up was decided because of the patient was being asymptomatic.

Keywords:

Semptomsuz bir hastada doğuştan düzeltilmiş büyük arter transpozisyonu ve total situs inversus

Yusuf Tavil

Gazi Üniversitesi Tıp Fakültesi, Kardiyoloji Ana Bilim Dalı, Ankara

Bu olgumuzda herhangi bir yakınması olmayan, Situs inversus totalis ile birlikte doğuştan düzeltilmiş büyük arter transpozisyonu olan 46 yaşında erkek bir hasta sunulmuştur. Nadir görülen bu iki doğumsal anomalinin birlikteliğinin tanısı ekokardiyografik ve manyetik rezonans görüntüleme yöntemleri ile konulabilmektedir. Hastanın yakınmasının olmaması ve beraberinde kalp yetmezliği ve kardiyak ileti bozukluğu olmaması nedeniyle takip kararı alınarak izlenmesine karar verildi.

Anahtar Kelimeler:

Yusuf Tavil. Congenitally corrected transposition of the great arteries associated with total situs inversus in an asymptomatic patient. Turk Kardiyol Dern Ars. 2007; 35(5): 314-314

Corresponding Author: Yusuf Tavil, Türkiye