Few
patients with corrected transposition of the great
arteries survive past 50 years of age because of the
association with
congenital defects , development of total
atrioventricular block , and
right ventricular dysfunction . We
report the case of a
male patient with
dextrocardia in situs solitus and corrected transposition of the great
arteries associated with a wide
atrial septal defect and severe pulmonary valvar and subvalvar
stenoses . The
patient also developed a large
aneurysm on the
pulmonary artery , total
atrioventricular block diagnosed 8 years earlier, symptoms of dysfunction of the systemic ventricle in the previous 2 years, insufficiency of the left atrioventricular valve, and
aortic regurgitation . Despite all these associated anomalies, the
patient developed class III cardiac decompensation only at the age of 68 years, which makes this case a rarity. The
patient was clinically treated, and was discharged from the
hospital in good condition