Abstract

We would like to highlight our concerns about sub-pulmonary failure in transposition of great arteries based on two cases seen at our institution. The first case (DS) was born in 1969 with TGA and VSD. Initially treated with septostomy/PA banding, he had an atrial (Mustard) repair and debanding in 1972. He was asymptomatic until presentation in 2002 with atrial flutter, successfully treated with amiodarone. In 2003 he presented with ascites and systemic venous congestion. Transthoracic echocardiography (TTE) showed a massively dilated sub-pulmonary ventricle with PaP of 70 mm Hg on the MR jet.

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