Patients with transposition of the great arteries (TGA) are now living longer due to improved medical and surgical care. Most of the current patients with TGA followed up at our district general hospital (DGH) grown-up congenital heart (GUCH) clinic have undergone a Mustard or a Senning atrial repair procedure between the early 1960s to mid 1980s. Complications found to be associated with the atrial repair procedure include arrhythmias, right ventricular impairment, tricuspid valve dysfunction, baffle-related problems and sudden death. This article reviews the outcome of patients with TGA in this DGH population and also addresses the issue of pregnancy and insurance.
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