Congenitally corrected transposition of the great arteries in a patient with atrial septal defect and acute inferior segment myocardial infarction


Tosun V., Korucuk N., Karakas M. S., GÜNTEKİN Ü.

TURK KARDIYOLOJI DERNEGI ARSIVI-ARCHIVES OF THE TURKISH SOCIETY OF CARDIOLOGY, cilt.44, sa.6, ss.517-520, 2016 (ESCI) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 44 Sayı: 6
  • Basım Tarihi: 2016
  • Doi Numarası: 10.5543/tkda.2015.34624
  • Dergi Adı: TURK KARDIYOLOJI DERNEGI ARSIVI-ARCHIVES OF THE TURKISH SOCIETY OF CARDIOLOGY
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.517-520
  • Anahtar Kelimeler: Acute myocardial infarction, atrial septal defect, corrected transposition of great arteries, CORONARY ANATOMY, ANOMALIES
  • Akdeniz Üniversitesi Adresli: Evet

Özet

Congenitally corrected transposition of the great arteries is a rare anomaly accounting for approximately 1% of clinically apparent congenital heart disease. Age at time of diagnosis and survival rates vary and depend on associated anomalies, including pulmonary stenosis, ventricular septal defect, atrial septal defect, atrioventricular block, and atrioventricular valve regurgitation. Reported cases of corrected transposition of the great arteries with single coronary ostium anomaly and atrial septal defect are very few. In this article a 55-year-old male who presented with acute inferior ST-segment elevation myocardial infarction and coincidental single coronary ostium arising from the right sinus of Valsal-va, as observed on coronary angiography is presented. Successful balloon angioplasty and stenting of the circumflex artery were performed. Echocardiography demonstrated the corrected transposition of the great arteries with negative-contrast enhancement between the atrial chambers. The patient was discharged with medical therapy on the eighth postoperative day. To our knowledge, this case is the frst report to describe corrected transposition of the great arteries, atrial septal defect, single coronary ostium, and acute myocardial infarction as comorbidities.