Congenitally corrected transposition of the great arteries in an 83-year-old asymptomatic patient: description and literature review

Abstract

We describe the case of an 83-year-old asymptomatic man followed in our centre. Transoesophageal echocardiography disclosed congenitally corrected transposition of great arteries (CCTGA) with no associated anomalies and only mild aortic regurgitation. Cardiac MR confirmed the diagnosis and revealed preserved systemic ventricle systolic function with a normal perfusional pathway. This report is a demonstration that CCTGA without associated anomalies can reach older life in an asymptomatic condition. This is the oldest asymptomatic living patient with CCTGA ever described.

Figure 1

ECG showing the common atrioventricular conduction defect and abnormal Q waves that mimic inferior myocardial infarction.

Figure 2

Axial spin-echo MRI demonstrating a left-anterior placed aorta, with left coronary artery visible and a right-posterior placed pulmonary artery.

Figure 3

Gradient-echo MRI in the four chambers view illustrates the moderator band and the heavy trabeculations and the more apically septal attachment of the tricuspid valve relative to the mitral valve at the level of the left ventricle (LV; morphological right ventricle (RV)).