Annals of Case Reports and Clinical Studies (ISSN: 2834-5673) | Volume 3, Issue 3 | Case Report | Open Access DOI
Daniel Ubokudom*
Daniel Ubokudom1*, Unwam Jumbo2, Ovie Okorare3, Akanimo Antia4
1Department of Internal Medicine Thomas Hospital, USA
2Department of Internal Medicine Thomas Hospital, USA
3Department of Internal Medicine, Vassar Brothers Medical Centre, Nuvance Health, NY, USA
4Department of Internal Medicine, Lincoln Medical Centre, NY, USA
*Correspondence to: Daniel Ubokudom
Fulltext PDFCongenital heart disease is one of the leading causes of arrhythmias in the adult population. A structural defect in the heart provides a substrate for abnormal heart rhythms. It is postulated that about one third of the population with congenital heart disease will develop arrhythmias in adulthood with majority of atrial origin. Sudden cardiac death from life threatening ventricular arrhythmias are of uttermost concern. Early repair or correction has been found to ameliorate the risk of future arrhythmias and other complications significantly. Nevertheless, the increased incidence of cardiac procedures such as cardioversions, ablation and device utilization such as ICD speaks volumes which cannot be ignored.
Transposition of the great arteries is one of the congenital cyanotic heart diseases. A disruption of the normal anatomy whereby there is a reversal of heart chamber functions, direction of blood flow and conduit leads to changes in pressure and volume gradient which could be detrimental to the heart. In TGA prior to repair, the aorta which opens into the right ventricle carries oxygen poor blood to the body and the pulmonary artery carries oxygen rich blood to the lungs. These creates a hypoxic state in the infant’s heart, compensatory polycythemia with long term consequences such as increased susceptibility to arrhythmias.
Daniel Ubokudom, Unwam Jumbo, Ovie Okorare, Akanimo Antia. Recurrent Episodes of Symptomatic Paroxysmal Atrial Tachycardia in a Patient with Congenitally Repaired Transposition of Great Arteries and Coarctation of the Aorta. Ann Case Rep Clin Stud. 2024;3(3):1-2.