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A Typical Case of L-Transposition of the Great Arteries Initially Presented as Complete Atrioventricular Block in Middle-Aged Man

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초록

L-transposition of the great arteries (L-TGA) is a rare congenital anomaly and could cause complete atrioventricular (AV) block atrelatively younger age. We present a case of 43-year-old male who complained of dizziness due to complete AV block. Weconfirmed L-TGA using transthoracic echocardiography and cardiac computed tomography. Permanent pacemaker was insertedwithout complications. No invasive treatment including corrective surgery was performed because patient’s cardiac function wasalmost normal and the symptom was completely resolved after pacemaker insertion.

Abstract

L-transposition of the great arteries (L-TGA) is a rare congenital anomaly and could cause complete atrioventricular (AV) block atrelatively younger age. We present a case of 43-year-old male who complained of dizziness due to complete AV block. Weconfirmed L-TGA using transthoracic echocardiography and cardiac computed tomography. Permanent pacemaker was insertedwithout complications. No invasive treatment including corrective surgery was performed because patient’s cardiac function wasalmost normal and the symptom was completely resolved after pacemaker insertion.

참고문헌 (13)

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  5. Graham TP Jr, "Long-term outcome in congenitally corrected transposition of the great arteries : a multi-institutional study", J Am Coll Cardiol, 36, pp.255~261 (2000)
  6. Presbitero P, "Corrected transposition of the great arteries without associated defects in adult patients : clinical profile and follow up", Br Heart J, 74, pp.57~59 (1995)
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  8. Prieto LR, "Progressive tricuspid valve disease in patients with congenitally corrected transposition of the great arteries", Circulation, 98, pp.997~1005 (1998)
  9. Kilner PJ, "Imaging congenital heart disease in adults", Br J Radiol, 84(3), pp.258~268 (2011)
  10. Hauser M, "Impaired myocardial blood flow and coronary flow reserve of the anatomical right systemic ventricle in patients with congenitally corrected transposition of the great arteries", Heart, 89, pp.1231~1235 (2003)
  11. Murtuza B, "Anatomic repair for congenitally corrected transposition of the great arteries: a single-institution 19-year experience", J Thorac Cardiovasc Surg, 142, pp.1348~1357 (2011)
  12. Hraska V, "Long-term outcome of surgically treated patients with corrected transposition of the great arteries", J Thorac Cardiovasc Surg, 129, pp.182~191 (2005)
  13. Rutledge JM, "Outcome of 121 patients with congenitally corrected transposition of the great arteries", Pediatr Cardiol, 23, pp.137~145 (2002)

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