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Transposition of great arteries

Fabrice Cuillier, MD*, F. Cardus, MD**

Article Published: Nov 9, 2010

*  Service de Gynécologie-Obstétrique, HÎpital Félix Guyon, Saint-Denis de La Réunion, France.
** Center of Radiology, 97450 Le Port, Ile de la RĂ©union, France

Case report

A 16-year-old woman, G1 P0, was referred to our antenatal unit at 23 weeks of gestation. She had non-contributive family or personal history.

The ultrasound examination showed a transposition of the great vessels. The aorta was arising from the right ventricle and ran parallel to the pulmonary artery which was arising from the left ventricle and bifurcated shortly after its origin. The pulmonary artery and aorta had a normal diameter. Doppler of the great vessels was normal. The amniocentesis showed normal karyotype.

Patient delivered at perinatology center and the neonate underwent cardiac surgery afterwards. The baby is doing well at the moment.

Images 1,2: Image 1 shows a 4-chamber view. Image 2 shows parallel orientation of the great arteries.

TGV_Cuillier_1
TGV_Cuillier_2


Images 3,4: Transposition of the great arteries, they run parallel to each other, there is no criss-crossing. Aorta arises from the right ventricle and pulmonary artery from the left ventricle.

TGV_Cuillier_3
TGV_Cuillier_4


Images 5,6: Image 5 shows a bifurcation of the main pulmonary artery into two branches; left and right pulmonary artery. Image 5 shows pulmonary artery, left outflow tract.

TGV_Cuillier_5
TGV_Cuillier_7


Image 7: Right, aortic outflow tract.

TGV_Cuillier_6


Videos 1,2: Video 1 shows 4-chamber view, parallel orientation of the transposed great vessels and bifurcation of the main pulmonary artery. Video 2 shows transposition of the great arteries, aorta arising from the right ventricle and pulmonary artery arising from the left ventricle.



Videos 3,4: Parallel course of the great arteries.

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