Abstract

Complete transposition of the great arteries is incompatible with life without corrective surgery in the neonatal period. Even in the presence of large intracardiac shunts, a case of un-operated d-TGA that survived to late adulthood is thought-provoking. We described a case of un-operated d-TGA presenting at 46 years of age who had large secundum type ASD, pulmonary hypertension, pulmonary artery aneurysm, situs inversus, mirror image dextrocardia and abnormal origin of the coronary artery. The management of an un-operated case of d-TGA surviving to late adulthood has made it important to share case-based experiences as there are no evidence-based data.