cctga. 7 year old

[bobqin]

for a 7 years old girl, physiologically corrected transposition of the great
arteries with intact ventricular septum and no outflow tract
obstruction.
Mesocardia.
No significant atrial septal defect.
Normal venous anatomy.
Very mild tricuspid regurgitation.
Prolapse of the anterior leaflet of the mitral valve; trace
mitral regurgitation.
No outflow tract obstruction.
No semilunar valve regurgitation.
Ventricular septal configuration consistent with left
ventricular pressure < 1/2 right ventricular pressure.
Thin-walled left ventricle with qualitatively good left
ventricular systolic function.
Hypertrophied right ventricle with mildly depressed right
ventricular systolic function.
Tiny coronary artery fistula to proximal main pulmonary
artery.
No patent ductus arteriosus.
No coarctation.



This discussion is related to CCTGA.

[bobqin]

Dear doctor,

Is the cctga related with gene? and can cctga be inherited from parents?

[bobqin]

Dear sir,

sometimes she complains of chest pain. but which is not common.
Hypertrophied right ventricle with mildly depressed right ventricular systolic function; Ventricular septal configuration consistent with left ventricular pressure < 1/2 right ventricular pressure.(what's the meaning of this sentence?)

[Paderla Anitha, DNB]

Hi, understand your predicament. Does she have any symptoms now? What surgery did your doctor recommend? One major factor for deciding on the surgical option is the functioning of the right ventricle, which is reflected in the right ventricular systolic function. Other indicators are rhythm abnormalities pulmonary hypertension and  valve regurgitation. So, discuss in detail with your doctor about the indications and the pros and cons of surgery, then you can decide. Regards.

[bobqin]

her two doctors give different suggestion:one suggest to do surgery,the other said she did not need surgery.

so I don't know how to decide.

[Paderla Anitha, DNB]

Hi, congenitally corrected transposition of the great vessels (CCTGA; l-TGA) is an uncommon congenital heart abnormality, occurring in 0.5% of the population. Patients with this disorder may be asymptomatic. According to studies done, failure of the systemic right ventricle (RV) often complicates adult survival in unoperated or physiologically repaired congenitally corrected transposition of the great arteries (CCTGA). So, she will need to follow up with her doctor at regular intervals, depending on the right ventricular function, he may advise surgery. Please discuss this with her consulting doctor. Regards.

[bobqin]

Are there physiciants who can give me some suggestions?