This case highlights the rare late presentation of corrected transposition of great arteries with complete heart block in the seventh decade, successfully managed with a VVI pacemaker.
VVI pacing may relieve symptoms in rare late-presenting corrected TGA with heart block; leaves open optimal device selection and long-term outcomes.
A 65-year-old female was hospitalized for syncope due to new onset complete heart block. An apical holosystolic murmur was detected on physical examination. Echocardiography revealed corrected transposition of great arteries, and Ebstein-like anomaly with regurgitation at the left-sided tricuspid valve. A single chamber (VVI) pacemaker was implanted and patient has been asymptomatic thereafter.
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Yeşil et al. (1997) studied this question.
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