Congenitally Corrected Transposition of Great arteries with AV block -cohabitation of structural and electrical cardiac abnormality: a case report

Authors

  • Abdul Wadud Chowdhury Professor and Head, Department of Cardiology, Dhaka Medical College & Hospital, Bangladesh
  • Azizul Haque Junior Consultant, Department of Cardiology, Dhaka Medical College & Hospital, Bangladesh
  • Kazi Nazrul Islam Assistant Professor, Department of Cardiology, Dhaka Medical College & Hospital, Bangladesh
  • Mohammad Gaffar Amin Assistant Professor, Department of Cardiology, Dhaka Medical College & Hospital, Bangladesh
  • Abu Taher Md Mahfuzul Hoque Assistant Professor, Department of Cardiology, Dhaka Medical College & Hospital, Bangladesh
  • Sudhakor Sarker Junior Consultant, Department of Cardiology, Bangladesh Specialized Hospital (BSH), Bangladesh
  • Mohammod Ali Junior Consultant, Department of Cardiology, Bangladesh Specialized Hospital (BSH), Bangladesh
  • Pratyay Hasan Indoor Medical officer, Department of Medicine, Dhaka Medical College & Hospital, Bangladesh

DOI:

https://doi.org/10.3329/bhj.v37i1.60108

Keywords:

MRI, c-TGA

Abstract

Congenitally Corrected Transposition of Great Arteries (c-TGA) is an anomaly with atrioventricular and ventriculoarterial discordance where left atrium connects to right ventricle and right atrium to left ventricle. However in this case of double inversion, aorta carries saturated blood and pulmonary artery carries venous blood. So, normal physiological circulation is maintained. Our patient, a 38-years-old Bangladeshi male presented with palpitation, dizziness and effort intolerance (NYHAII) during exertion since childhood, which has recently become much worse. However, he had no history of central cyanosis, chest pain or syncope. We diagnosed him as a case of Corrected TGA and second-degree AV block with intermittent complete heart block. A Dual chamber permanent Pacemaker was inserted without any complications. No invasive treatment including corrective surgery was performed because patient’s cardiac function was almost normal. Patient became totally asymptomatic after pacemaker implantation

Bangladesh Heart Journal 2022; 37(1): 77-80

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Published

2022-06-20

How to Cite

Chowdhury, A. W. ., Haque, A. ., Islam, K. N. ., Amin, M. G. ., Mahfuzul Hoque, A. T. M., Sarker, S. ., Ali, M. ., & Hasan, P. . (2022). Congenitally Corrected Transposition of Great arteries with AV block -cohabitation of structural and electrical cardiac abnormality: a case report. Bangladesh Heart Journal, 37(1), 77–80. https://doi.org/10.3329/bhj.v37i1.60108

Issue

Section

Case Reports