title: Congenitally corrected transposition of great arteries with ischemic symptoms in middle age.
abstract: Congenitally corrected transposition of the great arteries CCTGA is a rare congenital disease first described by Von Rokitansky in 1875. Transposition of the great arteries comprises 2.6 - 7.8% of all cases of congenital heart disease, and if uncorrected, is commonly fatal in the first year of life. Patients with corrected transposition of the great arteries without associated defects may remain undiagnosed until adult life. Symptoms occur rarely before the fourth and fifth decades, when rhythm disturbance, left atrioventricular valve regurgitation, and moderately impaired systemic ventricular function cause congestive cardiac failure. We report here a case of drug overdose with ischemic symptoms, and CCTGA without associated anomalies in a 40-year-old male.
authors.affiliation: Department of Cardiology, Riyadh Medical Complex, Ministry of Health, Riyadh, Kingdom of Saudi Arabia. syedmihdi5@hotmail.com
authors.forename: Syed M
authors.initials: SM
authors.lastname: Zaidi
authors.forename: Mabrooke M
authors.initials: MM
authors.lastname: Al-Sharary
authors.forename: Tarig S
authors.initials: TS
authors.lastname: Al-Khuwaitir
authors.forename: Najeeb U
authors.initials: NU
authors.lastname: Sajid
mesh_terms: D000328:Adult; D000661:Amphetamine / Q000506:poisoning*; D000697:Central Nervous System Stimulants / Q000506:poisoning*; D062787:Drug Overdose / Q000150:complications*; D006801:Humans; D008297:Male; D017202:Myocardial Ischemia / Q000209:etiology*; D014188:Transposition of Great Vessels / Q000150:complications* / Q000175:diagnosis*
chemical_list: D000697:Central Nervous System Stimulants; D000661:Amphetamine