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DC Field | Value | Language |
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dc.contributor.author | Grech, Neil | - |
dc.contributor.author | Borg, Alexander | - |
dc.contributor.author | Sammut, Mark Adrian | - |
dc.contributor.author | Caruana, Maryanne | - |
dc.date.accessioned | 2024-04-17T13:19:03Z | - |
dc.date.available | 2024-04-17T13:19:03Z | - |
dc.date.issued | 2021 | - |
dc.identifier.citation | Grech, N., Borg, A., Sammut, M. A., & Caruana, M. (2021). Congenitally corrected transposition of the great arteries (CCTGA). BMJ Case Reports. 14: e242069. | en_GB |
dc.identifier.uri | https://www.um.edu.mt/library/oar/handle/123456789/120993 | - |
dc.description.abstract | Summary: A 33-year-old man presented with a 3-week history of breathlessness and cough. He disclosed that he was informed regarding a heart defect as a child in his home country but was unaware of its nature and was never followed up. Examination revealed a pansystolic murmur (loudest at the apex), a hyperdynamic, displaced apex, and pulmonary oedema. An ECG showed atrial fibrillation with a regular broad-complex ventricular rhythm. Following electrical cardioversion, the ECG revealed complete heart block, therefore explaining the regular atrial fibrillation. An urgent transthoracic echocardiography (TTE) confirmed the anatomy of congenitally corrected transposition of the great arteries (CCTGA) with torrential tricuspid regurgitation and impaired systemic right ventricle. Cardiac MRI identified a ventricular septal defect which was not visible on TTE. The patient showed a transient improvement following fluid offloading and ACE inhibition, with a more definitive improvement after cardiac resynchronisation therapy (CRT). | en_GB |
dc.language.iso | en | en_GB |
dc.publisher | BMJ Group | en_GB |
dc.rights | info:eu-repo/semantics/restrictedAccess | en_GB |
dc.subject | Transposition of great vessels | en_GB |
dc.subject | Congenitally corrected transposition of the great arteries | en_GB |
dc.subject | Heart block -- Case studies | en_GB |
dc.subject | Atrioventricular block | en_GB |
dc.subject | Cardiac resynchronization therapy | en_GB |
dc.title | Congenitally corrected transposition of the great arteries (CCTGA) | en_GB |
dc.type | article | en_GB |
dc.rights.holder | The copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder. | en_GB |
dc.description.reviewed | peer-reviewed | en_GB |
dc.identifier.doi | 10.1136/bcr-2021-242069 | - |
dc.publication.title | BMJ Case reports | en_GB |
Appears in Collections: | Scholarly Works - FacM&SMed |
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File | Description | Size | Format | |
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Congenitally corrected transposition of the great arteries CCTGA 2021.pdf Restricted Access | 514.2 kB | Adobe PDF | View/Open Request a copy |
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