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October 3, 2025Journal of Medical Case ReportsOpen Access

Navigating the clinical complexity of acute heart failure in an untreated adult with dextrotransposition of the great arteries (D-TGA) and multiple cardiac anomalies: a case report and review of literature

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Authors

MMMíriam MechaLMLynn MillionEAElsah Tegene Asefa

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Overview

Case report highlights challenges in managing acute heart failure in a patient with congenital heart defects, suggesting urgent need for improved interventions.

Key Points

  • A unique case of acute heart failure in an adult with untreated dextrotransposition of the great arteries illustrates clinical complexity.
  • The patient, aged 25, exhibited multiple anomalies including pulmonary artery aneurysm, emphasizing severe associated risks.
  • Conservative management led to symptomatic improvement, stressing the necessity for resources and knowledge in critical congenital heart defects.
  • The case sheds light on complications faced in developing regions regarding advanced diagnostic and therapeutic care.

Cite This Study

Mecha et al. (2025) studied this question.

synapsesocial.com/papers/68dfe93cdaa1363beb049fe7https://doi.org/10.1186/s13256-025-05239-6
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Balanced chaos: A 55-year journey with unrepaired D-transposition of great arteries, ventricular septal defect, subvalvular and valvular pulmonary stenosis2024
  2. 2Natural history of complex transposition of great arteries in an adult: a case report2019 · 1 citations
  3. 3Management of arrhythmia and heart failure in a 60-year-old with unrepaired D-transposition of the great arteries, atrial septal defect, and partial anomalous pulmonary venous return: a case report2025 · 1 citations
  4. 4D-Transposition of Great Arteries With Infective Endocarditis and Congestive Cardiac Failure: A Case Report2024
  5. 5Management considerations in the adult with surgically modified d-transposition of the great arteries2021 · 19 citations