Korean Circ J.  1982 Dec;12(2):59-70. 10.4070/kcj.1982.12.2.59.

Clinical Observation on Corrected Transposition of the Great Arteries(CTGA)

• Kim SH
• Park SH
• Cho SK
• Lee MM
• Seo JD
• Lee YW
• Park JH
• Han MC

• KMID: 2040174
• DOI: http://doi.org/10.4070/kcj.1982.12.2.59

Abstract

A clinical obsevation was made on 8 patients with Corrected Transposition of the Great Arteries who visited seoul National University Hospital during the period of Feb., 1979-Sep., 1982. 1. Sex distribution was 5 male and 3 female patients. 2. Age distribution was from 16 to 39 years and the mean age was 24 years. 3. Symptoms were exertional dyspnea in all cases, cyanosis in 3 cases. Other symptoms were palpitation, chest pain, growth retardation and chest deformity. Duration of illness was from 6 to 16 years and N.Y.H.A. functional class was between II and III. 4. On physical examination, cardiac mumurs were heard in all cases. Cyanosis on the lips and nail beds were noticed in 3 cases and clubbing of fingers was seen in 1 case. 5. Situs inversus was noticed in 1 case, mesocardia in 3 cases, dextrocardia in 1 cases and right sided aortic arch in 1 case by simple Chest PA. 6. Electrocardiographic findings were Biventricular hypertrophy in 3 cases, Left ventricular hypertrophy in 2 cases, Right ventricular hypertrophy in 2 cases and Incomplete right bundle branch block in 1 case. No arrhythmias were observed. Septal Qwave was not observed on the left precordial leads in all cases. 7. CTGA were suspected or diagnosed by Echocardiography in 7 cases. 8. The diagnosis of CTGA and its associated anomalies were confirmed in all cases by cardiac catheterization and angiocardiography. There were one case of I.D.D. type CTGA and seven cases of S.L.L. type CTGA's. Associated anomalies were ventricular septal defect in 5 cases, pulmonary stenosis in 5 cases, patent foramen ovale in 3 cases, atrial septal defect in 2 cases, patent ductus arteriosus in 1 case, dextrocardia in 1 case, left sided A.V. valve regurtation in 2 cases, and right sided aortic arch in 1 case. 9. Operation was done in the case associated with patent ductus arteriosus, and corrective surgery was done in the another case associated with ASD, VSD, PS and TR with C-TGA.

MeSH Terms

Age Distribution
Angiocardiography
Aorta, Thoracic
Arrhythmias, Cardiac
Arteries
Bundle-Branch Block
Cardiac Catheterization
Cardiac Catheters
Chest Pain
Congenital Abnormalities
Cyanosis
Dextrocardia
Diagnosis
Ductus Arteriosus, Patent
Dyspnea
Echocardiography
Electrocardiography
Female
Fingers
Foramen Ovale, Patent
Heart Septal Defects, Atrial
Heart Septal Defects, Ventricular
Humans
Hypertrophy
Hypertrophy, Left Ventricular
Hypertrophy, Right Ventricular
Lip
Male
Physical Examination
Pulmonary Valve Stenosis
Seoul
Sex Distribution
Situs Inversus
Thorax