CONGENITALLY CORRECTED TRANSPOSITION OF THE GREAT-ARTERIES IN AN 80 YEAR-OLD WOMAN

Congenitally corrected transposition of the great arteries (CCTGA) is a rare form of congenital heart disease characterised by atrioventricu lar as well as ventriculoarterial discordance. It is usually associate d with a variety of severe intracardiac defects. Few patients with thi s abnormality survive past 50 years. An SO year old woman was admitted to the hospital because of mild congestive heart failure. Cardiac exa mination revealed a 4/6 holosystolic and a 2/6 decrescendo diastolic m urmur at the left sternal border. Radiography, echocardiography, and c omputed tomography confirmed newly diagnosed CCTGA without associated intracardiac defects.