TY  - CHAP
M1  - Book, Section
TI  - THE ADULT WITH CONGENITALLY CORRECTED TRANSPOSITION OF THE GREAT ARTERIES: (CC-TGA OR L-TGA)
A1  - Khanna, Amber
A2  - Daniels, Curt J.
A2  - Zaidi, Ali N.
Y1  - 2016
N1  - 
T2  - Color Atlas and Synopsis of Adult Congenital Heart Disease
AB  - A  45-year-old  woman  is  referred  to  cardiology  for  a  murmur  and  abnormal  echocardiogram.  She  had  overall  a  healthy  life.  She  had  3  uncomplicated  pregnancies.  Although  she  does  not  exercise  regularly,  she  had  always  been  able  to  keep  up  with  her  peers.  She  denied  chest  pain,  shortness  of  breath  or  palpitations.  At  her  most  recent  annual  physical  examination,  her  primary  care  physician  auscultated  a  holosystolic  murmur  at  the  apex  and  at  the  left  sternal  border.  He  referred  her  for  an  echocardiogram  and  subsequently  to  cardiology  for  further  evaluation.  Her  past  medical  history  included  an  appendectomy  and  well-controlled  hypertension  with  a  single  drug  (thiazide  diuretic).  She  has  been  a  lifelong  nonsmoker,  works  as  a  second-grade  teacher,  lives  with  her  husband  and  has  a  youngest  child  in  college.  Her  physical  examination  revealed  a  blood  pressure  of  126/80  mm  Hg,  heart  rate  65  bpm  with  normal  saturations  on  room  air.  She  had  a  diffuse  apical  impulse,  2/6  holosystolic  murmur  at  the  apex,  radiating  to  the  left  sternal  border,  normal  pulses,  and  no  edema  on  her  cardiovascular  examination.  There  were  clear  lungs  and  no  jugular  venous  distension.  There  was  no  evidence  of  hepatosplenomegaly  on  abdominal  examination.  Echocardiography  revealed  congenitally  corrected  transposition  of  the  great  arteries  (CC-TGA)  (with  ventricular  inversion)  with  moderate  systemic  atrioventricular  valve  regurgitation.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accesscardiology.mhmedical.com/content.aspx?aid=1128633951
ER  -