Subpulmonary Obstruction Due to Aneurysmal Ventricular Septum in a Patient with Congenitally Corrected Transposition of the Great Arteries and Dextrocardia

Authors

  • Naveen Sheikh Department of Cardiology, Bangabandhu Sheikh Mujib Medical University,Shahbag, Dhaka
  • Sajal Krishna Banerjee Department of Cardiology, Bangabandhu Sheikh Mujib Medical University,Shahbag, Dhaka
  • Md Zahid Hossain Department of Cardiology, Bangabandhu Sheikh Mujib Medical University,Shahbag, Dhaka
  • Md Tariqul Islam Department of Cardiology, Bangabandhu Sheikh Mujib Medical University,Shahbag, Dhaka
  • Tahmina Karim Department of Cardiology, Bangabandhu Sheikh Mujib Medical University,Shahbag, Dhaka
  • Atm Iqbal Hasan Department of Cardiology, Bangabandhu Sheikh Mujib Medical University,Shahbag, Dhaka
  • Dipal Krishna Adhikary Department of Cardiology, Bangabandhu Sheikh Mujib Medical University,Shahbag, Dhaka
  • Md Nazmul Hasan Department of Cardiology, Bangabandhu Sheikh Mujib Medical University,Shahbag, Dhaka
  • Md Harisul Hoque Department of Cardiology, Bangabandhu Sheikh Mujib Medical University,Shahbag, Dhaka

DOI:

https://doi.org/10.3329/uhj.v10i1.24596

Keywords:

Aneurysm, Dextrocardia, Transposition of the Great Arteries

Abstract

Congenitally corrected Transposition of Great Arteries is usually associated with multiple cardiac defects. Morphologic left-ventricular outflow (pulmonary) tract obstruction due to aneurysm of the membranous ventricular septum in patients with corrected transposition and ventricular septal defect is rare, but was reported in the past. This is even more uncommon in patients with dextrocardia, prompting us to document this case. Absence of the conus with resultant proximity of the aneurysm to the subpulmonary region and higher pressures in the left-sided morphologic right ventricle lead to obstruction of outflow tract in corrected transposition. Echocardiogram with Doppler interrogation and cardiac catheterization with selective cineangiography are the diagnostic tests of choice. Surgical resection of the aneurysm with patch closure of ventricular septal defect, avoiding injury to the conduction system, is recommended.

University Heart Journal Vol. 10, No. 1, January 2014; 31-38

Downloads

Download data is not yet available.
Abstract
731
PDF
751

Author Biography

Naveen Sheikh, Department of Cardiology, Bangabandhu Sheikh Mujib Medical University,Shahbag, Dhaka



Downloads

Published

2015-08-20

How to Cite

Sheikh, N., Banerjee, S. K., Hossain, M. Z., Islam, M. T., Karim, T., Hasan, A. I., Adhikary, D. K., Hasan, M. N., & Hoque, M. H. (2015). Subpulmonary Obstruction Due to Aneurysmal Ventricular Septum in a Patient with Congenitally Corrected Transposition of the Great Arteries and Dextrocardia. University Heart Journal, 10(1), 31–38. https://doi.org/10.3329/uhj.v10i1.24596

Issue

Section

Case Reports