Erkan YILDIRIM, Siho HİDAYET, Zeynep ULUTAŞ, Hasan ABDELRAHMAN

A rare cause of dyspnea: Isolated congenitally correctedtransposition of the great arteries

Corrected transposition of the great arteries is a rare pathology with an incidence of 1% among the congenital heart diseases.It is thought to have multifactorial inheritance. It is mostly seen in men. If there is no concomitant pathology, the blood flow isphysiological and does not show symptoms until advanced ages. Life expectancy is close to normal in those with isolated pathology.Risk factors determining mortality include progressive right ventricular dysfunction, AV block, and severe tricuspid insufficiency. Inthis case, we present a CCTGA patient with dyspnea symptoms without any additional pathology.

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1. Baumgartner H, Bonhoeffer P, De Groot NM, de Haan F, et al. Task Force on the Management of Grown-up Congenital Heart Disease of the European Society of Cardiology (ESC); Association for European Paediatric Cardiology (AEPC); ESC Committee for Practice Guidelines (CPG). ESC Guidelines for the management of grown-up congenital heart disease (new version 2010). Eur Heart J 2010;3:2915-57.
2. Warnes CA, Williams RG, Bashore TM, et al. ACC/AHA 2008 Guidelines for the management of adults with congenital heart disease: executive Summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to develop guidelines for the management of adults with congenital heart disease). Circulation 2008;118:2395-451.
3. Wallis GA, Debich-Spicer D, Anderson RH. Congenitally corrected transposition. Orphanet J Rare Dis 2011;6:22.
4. Kasar T, Ayyildiz P, Tunca Sahin G, et al . Rhythm disturbances and treatment strategies in children with congenitally corrected transposition of the great arteries Congenit Heart Dis 2018;13:450-7.
5. Filippov AA, Del Nido PJ, Vasilyev NV. Management of Systemic Right Ventricular Failure in Patients with Congenitally Corrected Transposition of the Great Arteries. Circulation 2016;134:1293-302.
6. Baumgartner H, De Backer J, Babu-Narayan SV, et al. 2020 ESC Guidelines for the management of adult congenital heart disease. Eur Heart J 2020;58-60.
7. Deng L, Xu J , Tang Y , et al . Long-Term Outcomes of Tricuspid Valve Surgery in Patients with Congenitally Corrected Transposition of the Great Arteries. J Am Heart Assoc 2018;16;7:008127.
8. Kowalik E, Klisiewicz A, Biernacka EK, Hoffman P. Pregnancy and long-term cardiovascular outcomes in women with congenitally corrected transposition of the great arteries. Int J Gynaecol Obstet 2014;125:154- 7.
9. Therrien J, Barnes I, Somerville J. Outcome of pregnancy in patients with congenitally corrected transposition of the great arteries. Am J Cardiol 1999;84:820-4.
10. Niwa K. Adult Congenital Heart Disease with Pregnancy. Korean Circ J 2018;48:251-76.