Key result
Primary arterial switch with aortic coarctation repair was successfully performed in a 13-week-old baby with late-presenting transposition of the great arteries and intact ventricular septum.
Case Report (n=1)
Adequate left ventricular mass index and thickness in late-presenting transposition of the great arteries with intact ventricular septum might justify primary arterial switch.
Supports feasibility of primary arterial switch plus coarctation repair in select complex TGA; leaves open need for larger series before wider adoption.
A 13-week-old baby was referred with dextrocardia, situs inversus, transposition of the great arteries, intact ventricular septum, patent foramen ovale, right aortic arch with severe preductal aortic coarctation and large patent ductus arteriosus. Left ventricular mass index as well as thickness was adequate, 118 g/m2 and 5.9 mm, respectively; thus, a primary arterial switch with aortic coarctation repair was performed. The patient made a full recovery without the need for extracorporeal life support. Adequate left ventricular mass index and thickness in late-presenting transposition of the great arteries with intact ventricular septum might justify primary arterial switch.
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Busro et al. (2020) conducted a case report in Late-presenting transposition of the great arteries with intact ventricular septum and severe coarctation of the aorta (n=1). Primary arterial switch with aortic coarctation repair was evaluated on Recovery. Primary arterial switch with aortic coarctation repair was successfully performed in a 13-week-old baby with late-presenting transposition of the great arteries and intact ventricular septum.
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