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Heart-Lung Transplant in Congenitally Corrected Transposition of the Great Arteries and Dextrocardia Patient
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  • Magdy El-Sayed Ahmed,
  • Mathew Thomas,
  • Ian Makey,
  • Archer Martin,
  • David Erasmus ,
  • Basar Sareyyupoglu,
  • Kevin Landolfo,
  • Si Pham
Magdy El-Sayed Ahmed
Mayo Clinic Florida
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Mathew Thomas
Mayo Clinic Florida
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Ian Makey
Mayo Clinic Florida
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Archer Martin
Mayo Clinic Florida
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David Erasmus
Mayo Clinic Florida
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Basar Sareyyupoglu
Mayo Clinic Florida
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Kevin Landolfo
Mayo Clinic Florida
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Si Pham
Mayo Clinic Florida
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Abstract

Background and aim of the study: Congenitally corrected transposition of the great arteries (cc-TGA) is a rare type of congenital heart disease and heart-lung transplant (HLTx) is the potential solution if the patient developed severe biventricular failure.. Aim of the study is to present a challenging case of cc-TGA with dextrocardia managed by HLTx. Methods: A 53-year-old male patient was presented to our institution with biventricular failure. The echocardiogram revealed cc-TGA, dextrocardia with situs solitus, atrioventricular discordance and ventriculoatrial discordance, severe systemic and sub-pulmonary atrioventricular valves regurgitation, and severe pulmonary hypertension. He underwent heart-lung transplant. Results: The patient was discharged on postoperative day 25 on room air with normal left ventricular ejection fraction. Conclusion: This case highlights the complexity of preoperative and intraoperative management of cc-TGA, and demonstrates the challenges which the surgeons and anesthesiologists may face during the procedure of HLTx.