Abstract
We thank Drs Murakami and Koichiro for their interest in our work1 and their constructive comments. We totally agree that the normal gradient of stiffness between ascending (low stiffness) and descending aorta (higher stiffness) is profoundly altered in Transposition of Great Arteries (TGA) patients.2,3 This impedance mismatch was not measured in our patient, but it is quite evident from the cineloops on cardiac magnetic resonance imaging. It is very likely that it has an additive role to the one of the severe angulation of the aortic arch in our case. Indeed, aortopathy has been extensively described in TGA patients, whatever the surgical …
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