Volume 49, Issue 3 pp. 388-391
Brief Communication

Natural history of a systemic right ventricle

Jean Lee

Jean Lee

Green Lane Cardiovascular Service, Auckland City Hospital, Auckland, New Zealand

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Peter N. Ruygrok

Corresponding Author

Peter N. Ruygrok

Green Lane Cardiovascular Service, Auckland City Hospital, Auckland, New Zealand

Correspondence

Peter N. Ruygrok, Green Lane Cardiovascular Service, Auckland City Hospital, Private Bag 92024, Victoria Street West, Auckland 1142, New Zealand.

Email: [email protected]

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Ivor L. Gerber

Ivor L. Gerber

Green Lane Cardiovascular Service, Auckland City Hospital, Auckland, New Zealand

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A. Kirsten Finucane

A. Kirsten Finucane

Green Lane Paediatric and Congenital Cardiac Services, Starship Children's Hospital, Auckland, New Zealand

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First published: 21 March 2019
Citations: 1
Funding: None.
Conflict of interest: None.

Abstract

The natural history of a systemic right ventricle after an atrial switch procedure has yet to be fully characterised. We describe the case of the longest surviving patient at our institution who underwent a Mustard Baffle correction for dextro-transposition of great arteries in childhood. Over following decades he was reviewed regularly with deteriorating systemic right ventricle function. At around 50 years of age he developed worsening heart failure on maximal medical therapy. He was subsequently assessed for cardiac transplantation which he underwent successfully at the age of 55 years.

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