Arq. Bras. Cardiol. 2019; 113(3): 444-446
Double-Inlet Single Ventricle with Malposed Great Arteries
Paulo Andrade
, Danilo Santos, Magna Moreira, Adail Almeida
DOI: 10.5935/abc.20190160
A 62-year-old man came to the Echocardiography Service with a history of arterial hypertension and systolic murmur in the mitral area. At the subsequent evaluation, the patient reported dyspnea and fatigue on moderate exertion, but without an impact on social life. Peripheral oxygen saturation at rest ranged from 95% to 98%; extremities were warm and perfused, with no signs of peripheral hypoperfusion; cyanosis and digital clubbing were absent.
The echocardiogram disclosed a case of levocardia, with the presence of a double-inlet single ventricle with transposition of the great arteries (, and ), with situs solitus, enlargement of the atrial chambers associated with significant mitral regurgitation due to annulus dilatation.
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