title: CASE REPORT Anomalies Associated With Congenitally Corrected Transposition of Great Arteries: Expect the Unexpected.
abstract: OBJECTIVE
  Congenitally corrected transposition of great arteries (CCTGA) is characterized by atrioventricular and ventriculoarterial discordance. Characterizations of these anomalies are important because they may influence surgical approach and management.
  
  
  METHODS
  We present a case of newly diagnosed CCTGA at the age of 50. He presented with sudden onset of shortness of breath for the first time and was diagnosed with CCTGA. Echocardiogram, magnetic resonance imaging, and cardiac catheterization were utilized to elucidate the pathology.
  
  
  RESULTS
  Intraoperatively, patient's CCTGA and ventricularization of the right ventricle were confirmed. The severe systemic atrioventricular valve regurgitation was replaced with a bioprosthetic valve (Medtronic Mosaic No. 29) with placement of epicardial ventricular leads for possible future placement of automatic implantable cardioverter defibrillators. Pathology report confirmed a degeneration of the systemic atrioventricular valve.
  
  
  CONCLUSIONS
  Significant coronary artery anomalies have also been described in literature with CCTGA. The variances encountered in this case are excellent examples of the intricacies associated in diagnosis and surgical care in patients with CCTGA.
authors: Departments of Internal Medicine.
authors: Valay
authors: V
authors: Parikh
authors: Masood A
authors: MA
authors: Shariff
authors: Faisal B
authors: FB
authors: Saiful
authors: Syed Bilal
authors: SB
authors: Rizvi
authors: Nikhil
authors: N
authors: Goyal
authors: Kourosh T
authors: KT
authors: Asgarian
authors: Joseph T
authors: JT
authors: McGinn
authors: Thomas
authors: T
authors: Snyder
authors: Vijay A
authors: VA
authors: Singh