Abstract

RICO, A. et al. Ischemic stroke in the early postoperative period of a transposition of great arteries in a 5 and a half months female infant. Cuad. med. forense [online]. 2009, n.57, pp.223-230. ISSN 1988-611X.

Transposition of the Great Arteries (TGA) with intact ventricular septum is a congenital heart disease characterized by ventricle-arterial discordance and atria-ventricle concordance. Cyanosis is common in patients with TGA because there is no mixing between systemic and pulmonary circulations through a ventricular septal defect and systemic oxygenation is not possible. We report the case of a 5 months and 15 days old female infant who was diagnosed with TGA with intact septum. Balloon atrial septostomy and "retraining" of left ventricle by pulmonary artery banding and subclavian-pulmonary artery shunt were necessary to be performed before anatomical correction by arterial switch. Nevertheless, she died 8 days after admission due to an ischemic stroke.

Keywords : Transposition of great arteries; ischemic stroke; autopsy; forensic pathology.

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