Dear Mostafafathi,
Yes, this does exist. The diagnosis of l-transposition of the great arteries (also called "congenitally corrected" transposition) occurs when the positions of the atria are normal, the ventricular positions are switched (meaning that a right ventricle formed on the left and a left formed on the right), and the great arteries (aorta and pulmonary artery) are in the normal position. Without evaluating your son, I cannot say exactly which defect he has. L-TGA can have a right aortic arch, as well, so that doesn't necessarily rule that out. In the end, it is most important to know what the ventricular and great artery relationships are because the prognosis is different in d-TGA (in which the great arteries are reversed) vs. l-TGA. L-TGA requires very different management.
Dear Jeffrey,
Thanks alot for your time.
Dear Mostafafathi,
1. I cannot say without evaluating him further. Sometimes yes, sometimes no.
2. Yes
3. Yes, in good/experienced hands
dear Jeffrey
Ok now I have three questions
1. If he has malposition of great arteries S, D, L without associated
Defects . Is it a problem ?
2. Is malposition of great arteries S. D. L more rarely than l-tga?
3. Can Echo differeniate accurately between the ventriculars?
dear Jeffrey
Ok now I have three questions
1. If he has malposition of great arteries S, D, L without associated
Defects . Is it a problem ?
2. Is malposition of great arteries S. D. L more rarely than l-tga?
3. Can Echo differeniate accurately between the ventriculars?