Transposition of the great arteries: When echocardiography does not match the clinical picture

J Clin Ultrasound. 2018 Nov;46(9):617-622. doi: 10.1002/jcu.22615. Epub 2018 Aug 30.

Abstract

Aortopulmonary window (APW) is a rare form of congenital heart disease seen in isolation or with complex cardiac lesions. APW has been associated with other cardiac defects such as interrupted aortic arch and Tetralogy of Fallot, but few cases have been reported of APW associated with transposition of the great arteries (TGA). In a newborn with TGA and intact ventricular septum, diagnosis of APW requires a high index of suspicion. This article reviews the literature on TGA with APW and illustrates the importance of additional evaluation in neonates with TGA when oxygen saturation and PaO2 do not match predicted clinical values.

Keywords: aortopulmonary septal defect; aortopulmonary window; congenital heart disease; echocardiography; transposition of the great arteries.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Echocardiography / methods*
  • Humans
  • Infant, Newborn
  • Male
  • Transposition of Great Vessels / diagnostic imaging*
  • Transposition of Great Vessels / surgery*