ABSTRACT
Corrected transposition of the great arteries is an unusual congenital heart defect, particularly in adults. Echocardiography and angiography are still cornerstones for its diagnosis. However, other techniques, as magnetic resonance imaging, may constitute a noinvasive diagnostic alternative to cardiac catheterization. We present one case of corrected transposition of the great arteries in an adult patient in which this method was used.
Subject(s)
Magnetic Resonance Imaging , Transposition of Great Vessels/physiopathology , Adult , Age Factors , Echocardiography, Doppler , Humans , Male , Transposition of Great Vessels/diagnosisABSTRACT
A 32-year old woman, with endocarditis caused by Streptococcus mitis, and systolic murmur is presented. The Doppler examination was found a systolic gradient of 150 mmHg. Aortography showed a multiple membranous supravalvular aortic stenosis, with aneurysmal dilatation of the left main coronary artery and circumflex artery, associated with bicuspid aortic valve and mild aortic insufficiency. The patient died suddenly by cardiac arrest in stand by to cardiac surgery. Anatomic comprobation was not possible. The coronary artery anomalies associated with the supravalvular aortic stenosis syndrome are reviewed.