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Congenitally corrected transposition of the great arteries and implantation of a leadless pacemaker: a case report

BACKGROUND: Congenitally corrected transposition of the great arteries (ccTGA) is a rare cardiac anomaly and can lead to abnormal electrical activity of the heart. The implant of a pacemaker in such patients is more complicated than conventional operations. This case report of an adult with ccTGA wh...

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Autores principales: Li, Qiao-yuan, Dai, Wen-long, Lin, can-can, Liu, Xu, Guo, Cheng-jun, Jian-zeng, Dong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10111638/
https://www.ncbi.nlm.nih.gov/pubmed/37069687
http://dx.doi.org/10.1186/s13019-023-02257-7
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author Li, Qiao-yuan
Dai, Wen-long
Lin, can-can
Liu, Xu
Guo, Cheng-jun
Jian-zeng, Dong
author_facet Li, Qiao-yuan
Dai, Wen-long
Lin, can-can
Liu, Xu
Guo, Cheng-jun
Jian-zeng, Dong
author_sort Li, Qiao-yuan
collection PubMed
description BACKGROUND: Congenitally corrected transposition of the great arteries (ccTGA) is a rare cardiac anomaly and can lead to abnormal electrical activity of the heart. The implant of a pacemaker in such patients is more complicated than conventional operations. This case report of an adult with ccTGA who had a leadless pacemaker implant will provide a reference for diagnosing and treating such patients. CASE PRESENTATION: A 50-year-old male patient was admitted to hospital having experienced intermittent vision loss for a month. An electrocardiogram and Holter monitoring showed intermittent third-degree atrioventricular block, and echocardiography, cardiac computed tomography and cardiac magnetic resonance imaging confirmed a diagnosis of ccTGA. A leadless pacemaker was successfully implanted into the patient’s anatomical left ventricle, and the postoperative parameters were stable. CONCLUSION: Implanting a leadless pacemaker into a patient with a rare anatomical and electrophysiological abnormality, such as ccTGA, is feasible and efficacious, but preoperative imaging evaluation is of considerable importance.
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spelling pubmed-101116382023-04-19 Congenitally corrected transposition of the great arteries and implantation of a leadless pacemaker: a case report Li, Qiao-yuan Dai, Wen-long Lin, can-can Liu, Xu Guo, Cheng-jun Jian-zeng, Dong J Cardiothorac Surg Case Report BACKGROUND: Congenitally corrected transposition of the great arteries (ccTGA) is a rare cardiac anomaly and can lead to abnormal electrical activity of the heart. The implant of a pacemaker in such patients is more complicated than conventional operations. This case report of an adult with ccTGA who had a leadless pacemaker implant will provide a reference for diagnosing and treating such patients. CASE PRESENTATION: A 50-year-old male patient was admitted to hospital having experienced intermittent vision loss for a month. An electrocardiogram and Holter monitoring showed intermittent third-degree atrioventricular block, and echocardiography, cardiac computed tomography and cardiac magnetic resonance imaging confirmed a diagnosis of ccTGA. A leadless pacemaker was successfully implanted into the patient’s anatomical left ventricle, and the postoperative parameters were stable. CONCLUSION: Implanting a leadless pacemaker into a patient with a rare anatomical and electrophysiological abnormality, such as ccTGA, is feasible and efficacious, but preoperative imaging evaluation is of considerable importance. BioMed Central 2023-04-17 /pmc/articles/PMC10111638/ /pubmed/37069687 http://dx.doi.org/10.1186/s13019-023-02257-7 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Li, Qiao-yuan
Dai, Wen-long
Lin, can-can
Liu, Xu
Guo, Cheng-jun
Jian-zeng, Dong
Congenitally corrected transposition of the great arteries and implantation of a leadless pacemaker: a case report
title Congenitally corrected transposition of the great arteries and implantation of a leadless pacemaker: a case report
title_full Congenitally corrected transposition of the great arteries and implantation of a leadless pacemaker: a case report
title_fullStr Congenitally corrected transposition of the great arteries and implantation of a leadless pacemaker: a case report
title_full_unstemmed Congenitally corrected transposition of the great arteries and implantation of a leadless pacemaker: a case report
title_short Congenitally corrected transposition of the great arteries and implantation of a leadless pacemaker: a case report
title_sort congenitally corrected transposition of the great arteries and implantation of a leadless pacemaker: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10111638/
https://www.ncbi.nlm.nih.gov/pubmed/37069687
http://dx.doi.org/10.1186/s13019-023-02257-7
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