Case 1
A 13-year-old female patient (height:150 cm; weight: 42 kg) was
diagnosed with functional SV combined with transposition of the great
arteries (TGA) with a right position of the aorta based onultrasound
findings at the age of 3, but did not receive any treatment. In 2017,
she came to our hospital due to numbness in both lower limbs and
dyskinesia. Thoracic magnetic resonance imaging (MRI) showed a
space-occupying lesion in the spinal canal. A bone biopsy was performed
and revealed cavernous hemangioma. This patient underwent a tumor
resection at another hospital and returned to our hospital for
radiotherapy 5 months after the operation.
Physical examination at our hospital showed a temperature of 36.5℃, a
pulse of 80 beats/min, no difference in the pulse and heart rate (HR), a
respiratory rate of 18 breaths/min, and a blood pressure of 120/80
mmHg.Other pertinent examinations showed no signs of anemia and she had
no history of hemoptysis, syncope, or long-term high fever. The patient
exhibited normal development, moderate nutrition, and a clear mind. Her
New York Heart Association functional class was II. Echocardiography
revealed the following: the heart was located in the left thoracic
cavity, the atrium was in the normal position,
the left ventricular cavity was
the main cavity, and the right ventricular cavity was the residual
cavity. The pulmonary artery (PA) was locatedon the posterior sideand
arose from the autonomous cavity. The aorta was moderately developed,
located on the anterior sideand arose from the self-mutilating cavity.
Echocardiography at the upper interventricular septum was interrupted by
22.3 mm(Figure 1). Color Doppler
flow imaging (CDFI) revealed a two-way low-resistance shunt in the
ventricular septal defect. The patient was diagnosed with the following
diseasesbased on the echocardiography results: congenital heart disease,
functional SV, TGA, mild PS, left ventricular hypertrophy, and left
atrial enlargement. Further examination was recommended. No tumor
metastasis was found after radiotherapy at our hospital and the
prognosis was appreciable.