Balanced chaos: A 55-year journey with unrepaired D-transposition of great arteries, ventricular septal defect, subvalvular and valvular pulmonary stenosis
Samah El-Mhadi, Hind Hibatouallah, Zakia Touati, Mohammed Cherti
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引用次数: 0
Abstract
We report a rare case of unoperated D-transposition of the great arteries (d-TGA) in a 55-year-old homeless patient presenting with exertional dyspnea and cyanosis. Echocardiographic findings revealed d-TGA with an outlet ventricular septal defect and concurrent subvalvular and valvular pulmonary stenosis. Due to delayed age of diagnosis, limited data on adult d-TGA outcomes, and socioeconomic factors, surgical intervention was not pursued. Instead, palliative care measures were implemented, underscoring the importance of early diagnosis, tailored care plans, and comprehensive support structures to optimize outcomes.
我们报告了一例罕见的未经手术的 D 型大动脉横跨(d-TGA)病例,患者 55 岁,无家可归,出现劳力性呼吸困难和紫绀。超声心动图检查结果显示,d-TGA伴有室间隔出口缺损,并发瓣下和瓣膜性肺动脉狭窄。由于确诊年龄较晚、有关成人d-TGA预后的数据有限以及社会经济因素,该患者没有接受手术治疗。相反,他们采取了姑息治疗措施,强调了早期诊断、量身定制的护理计划和全面的支持结构对优化预后的重要性。