Heart Transplantation in Congenital Heart Disease: In Whom to Consider and When?
Figure 4
32-year-old patient with severe biventricular dysfunction after atrial switch operation for complete transposition of the great arteries with pacemaker leads in the subpulmonic left ventricle and the systemic venous baffle. (a) Chest X-ray with transvenous pacemaker leads. (b) Apical “5-chamber”-view showing the aorta arising from the morphologic right and the pulmonary artery from the subaortic left ventricle (RV: right ventricle, LV: left ventricle, AO: aorta, PA: main pulmonary artery, LPA: left pulmonary artery). (c) Apical 4-chamber view showing the pulmonary venous and the systemic venous baffles, redirecting venous blood. The arrow points to the pacemaker lead in the subpulmonic left ventricle. (d) Apical 4-chamber view with colour Doppler demonstrating severe (subpulmonic) mitral and severe (systemic) tricuspid regurgitation.
