Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2021 Feb 12:9:2050313X20987449.
doi: 10.1177/2050313X20987449. eCollection 2021.

Heart-lung transplant in congenitally corrected transposition of the great arteries and dextrocardia patient

Magdy M El-Sayed Ahmed  1   2 , Mathew Thomas  1 , Ian A Makey  1 , Archer K Martin  3 , David B Erasmus  4 , Basar Sareyyupoglu  1 , Kevin P Landolfo  1 , Si M Pham  1
Affiliations
Case Reports

Heart-lung transplant in congenitally corrected transposition of the great arteries and dextrocardia patient

Magdy M El-Sayed Ahmed et al. SAGE Open Med Case Rep. .

Abstract

A 53-year-old male patient was presented to our institution with the clinical picture of biventricular failure. The echocardiogram revealed congenitally corrected transposition of the great arteries, dextrocardia with situs solitus, atrioventricular discordance and ventriculoatrial discordance, severe systemic and mitral valves regurgitation, and severe pulmonary hypertension (mean pulmonary artery pressure: 51 mm Hg). He underwent heart-lung transplant. He was discharged on postoperative day 25 with left ventricular ejection fraction of 60%-65%, and with oxygen independency.

Keywords: Biventricular failure; congenitally corrected transposition of the great arteries; dextrocardia; heart–lung transplant.

PubMed Disclaimer

Conflict of interest statement

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
(a) Preoperative chest radiograph showing the dextrocardia anomaly and (b) diagram showing anatomy of the congenitally corrected transposition of the great arteries with dextrocardia and situs solitus. RV: right ventricle, LV: left ventricle, RA: right atrium, LA: left atrium, IVC: inferior vena cava, SVC: superior vena cava.
Figure 2.
Figure 2.
(a) Intraoperative photo showing the en bloc heart and lung after recovery and (b) postoperative chest radiograph showing the transplanted heart and lungs in the proper position.
See this image and copyright information in PMC

References

    1. Bjarke BB, Kidd BSL. Congenitally corrected transposition of the great arteries: a clinical study of 101 cases. Acta Paediatr Scand 1976; 65: 153–160. - PubMed
    1. Reitz BA, Wallwork JL, Hunt SA, et al. Heart-lung transplantation: successful therapy for patients with pulmonary vascular disease. N Engl J Med 1982; 306: 557–564. - PubMed
    1. Yusen RD, Edwards LB, Kucheryavaya AY, et al. The registry of the international society for heart and lung transplantation: thirty-first adult lung and heart-lung transplant report–2014; focus theme: retransplantation. J Heart Lung Transplant 2014; 33(10): 1009–1024. - PubMed
    1. Hill C, Maxwell B, Boulate D, et al. Heart-lung vs. double-lung transplantation for idiopathic pulmonary arterial hypertension. Clin Transplant 2015; 29(12): 1067–1075. - PubMed
    1. Olland A, Falcoz P, Canuet M, et al. Should we perform bilateral-lung or heart-lung transplantation for patients with pulmonary hypertension? Interact Cardiovasc Thorac Surg 2013; 17: 166–170. - PMC - PubMed

Publication types

LinkOut - more resources