D-TGA, atrial switch (Senning) procedure and pacemaker

Discussion:

ECG: sinus rhythm and rate, right ventricular hypertrophy (RVH).

Patient has an AAI/DDR mode dual-chamber pacemaker.

Echocardiogram demonstrates the previously-defined anatomy of d-TGA status post-Senning procedure. There is no obstruction seen throughout the baffle. The right ventricular systolic function is fair. The pacemaker leads are seen in the left ventricle. A stent is seen partially in the IVC baffle: see zoomed-in image.

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