Better Late Than Never: Definitive Anatomic Repair of Dextro-Transposition of the Great Arteries

Asma Bahrami; Stefan P Kostelyna; Samuel J Dugger; Christopher R Broda; Peter R Ermis; Christopher A Caldarone; Wilson W Lam

doi:10.1016/j.jaccas.2024.102269

Better Late Than Never: Definitive Anatomic Repair of Dextro-Transposition of the Great Arteries

JACC Case Rep. 2024 Feb 27;29(7):102269. doi: 10.1016/j.jaccas.2024.102269. eCollection 2024 Apr 3.

Authors

Asma Bahrami^{1

2}, Stefan P Kostelyna^{1

2}, Samuel J Dugger¹, Christopher R Broda³, Peter R Ermis^{3

4}, Christopher A Caldarone⁵, Wilson W Lam^{3

4}

Affiliations

¹ Department of Medicine, Baylor College of Medicine, Houston, Texas, USA.
² Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA.
³ Division of Pediatric Cardiology, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA.
⁴ Division of Cardiology, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA.
⁵ Division of Cardiothoracic Surgery, Department of Surgery, Baylor College of Medicine, Houston, Texas, USA.

Abstract

We present a case of anatomic repair of dextro-transposition of the great arteries (d-TGA) with ventricular septal defect (VSD) in a 55-year-old man who presented with acute heart failure. This case highlights the importance of multimodal imaging and multidisciplinary involvement in developing a comprehensive surgical and medical plan for adults with congenital heart disease. We think this is the oldest reported patient undergoing anatomic surgical repair of d-TGA with VSD.

Keywords: adult congenital heart disease; heart failure; heart septal defects; thoracic surgery; transposition of the great arteries; ventricular.

Publication types

Case Reports