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Abstract #5407

Cardiovascular magnetic resonance in the evaluation of congenitally corrected transposition of the great arteries

Jose Ngombo-Kimbongila 1, Petronella Samuels2, Morne Kahts2, Stephen Jermy2, Sulaiman Moosa3, Blanche Cupido4, and Ntobeko Ntusi4,5
1Department of Radiology, Groote Schuur Hospital, Cape Town, South Africa, 2Cape Universities Body Imaging Centre, University of Cape Town, Cape Town, South Africa, 3Department of Radiation Medicine, University of Cape Town and Groote Schuur Hospital, Cape Town, South Africa, 4Division of Cardiology, Department of Medicine, University of Cape Town, Cape Town, South Africa, 5Cape Heart Institute, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa

Synopsis

Congenitally corrected transposition of the great arteries (ccTGA), is a rare cardiac anomaly (occurring in less than 1% of all congenital heart diseases) characterised by atrio-ventricular and ventricular-arterial discordance. We report on a 13-year-old female with situs inversus totalis, ccTGA, peri-membranous VSD, and sub-PS presenting with worsening fatigue on physical exertion, excessive sweating, and intermittent palpitations not associated with physical activity. Echocardiography was used in diagnosis. CMR revealed mild systolic impairment (ejection fraction, EF 55%) of the systemic ventricle (morphologic RV), a perimembranous VSD, flattening of the interventricular septum in systole and diastole, indicative of pressure and volume overload, respectively.

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