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Added:11/17/2025 11:50 AM

Description:
This module presents a case study and expert discussion focusing on the long-term management of an adult patient diagnosed with congenitally corrected transposition of the great arteries (CCTGA). The case details the patient's symptoms, medical history, and treatment trajectory, including the use of transthoracic and transesophageal echocardiography (TEE), cardiac MRI, and cardiopulmonary exercise testing to assess systemic right ventricular function and associated valvular issues like tricuspid regurgitation. Experts expand on the clinical challenges of caring for adults with CCTGA, emphasizing common complications such as heart block and ventricular dysfunction, and reviewing the evidence guiding interventions, such as the timing of tricuspid valve surgery and the utilization of devices like the biventricular ICD.

Learning Objectives:
Describe the unique segmental anatomy of congenitally corrected transposition (CCTGA).
Identify the major long-term complications in adult patients with CCTGA.
Explain how imaging informs therapeutic intervention in CCTGA, noting that echo is critical for monitoring systemic right ventricular function and tricuspid regurgitation.
Discuss management strategies for arrhythmias and ventricular failure in CCTGA patients.
CME Information: 1.0 AMA PRA Category 1 Credit(s)â„¢
CME Expiration: November 17, 2028 (CME Credits must be claimed by this date.)
Credits awarded per Session. See individual Sessions for further details.
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About this item

Description:
This module presents a case study and expert discussion focusing on the long-term management of an adult patient diagnosed with congenitally corrected transposition of the great arteries (CCTGA). The case details the patient's symptoms, medical history, and treatment trajectory, including the use of transthoracic and transesophageal echocardiography (TEE), cardiac MRI, and cardiopulmonary exercise testing to assess systemic right ventricular function and associated valvular issues like tricuspid regurgitation. Experts expand on the clinical challenges of caring for adults with CCTGA, emphasizing common complications such as heart block and ventricular dysfunction, and reviewing the evidence guiding interventions, such as the timing of tricuspid valve surgery and the utilization of devices like the biventricular ICD.
 
Learning Objectives: 
  • Describe the unique segmental anatomy of congenitally corrected transposition (CCTGA).
  • Identify the major long-term complications in adult patients with CCTGA.
  • Explain how imaging informs therapeutic intervention in CCTGA, noting that echo is critical for monitoring systemic right ventricular function and tricuspid regurgitation.
  • Discuss management strategies for arrhythmias and ventricular failure in CCTGA patients.

CME Information: 1.0 AMA PRA Category 1 Credit(s)™

CME Expiration: November 17, 2028 (CME Credits must be claimed by this date.)

Course/Activity Information

Accreditation Statement & CME Information (Pending Approval)

The American Society of Echocardiography is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Society of Echocardiography designates this activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program, the American Board of Pediatrics (ABP) MOC program, and/or the American Board of Anesthesiology’s (ABA) Maintenance of Certification in Anesthesiology Program® or MOCA 2.0®. It is ASE’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM and ABP MOC points and/or ABA MOCA 2.0®.   Physicians will earn MOC and/or MOCA 2.0 points equivalent to the amount of CME credits claimed for the activity.

ARDMS and CCI recognize ASE’s certificates and have agreed to honor the CME credit hours toward their registry requirements for sonographers.

Disclosures:

ASE is committed to ensuring that its educational mission, and all accredited continuing educational programs provide a protected space to learn, teach, and engage in scientific discourse free from influence from organizations that may have an incentive to insert commercial bias into education.

While a monetary or professional affiliation with an ineligible company does not necessarily influence a speaker’s presentation, the Standards for Integrity and Independence in Accredited Continuing Education and policies of the ACCME require that all financial relationships with ineligible companies* be identified and mitigated prior to engaging in an accredited CE activity. In accordance with these policies, ASE actively identified relevant financial relationships between faculty in control of this accredited CE activity and ineligible companies and implemented mitigation strategies to eliminate any potential influence from persons or organizations that may have an incentive to insert commercial bias in this activity. (*Companies that are ineligible to be accredited in the ACCME System (“ineligible companies”) are those whose primary business is producing, marketing, selling, reselling, or distributing healthcare products used by or on patients.)

The following faculty members have no relevant financial relationships with ineligible companies:

  • Dawn Park, BS, RCCS, RDCS, RDMS, FASE
  • Yamini Krishnamurthy, MD
  • Fred Wu, MD, PhD
  • Shubhika Srivastava, MD, FASE

All relevant financial relationships with ineligible companies listed for the following faculty members have been mitigated:

  • None

Members of the ASE CME Committee members (not serving as faculty) do not have any financial relationships with ineligible companies.  Click here for a list of these members.

None of the ASE staff who were involved in the planning and implementation of this educational activity have relevant financial relationship(s) to disclose with ineligible companies.  Click here for a list of ASE staff members.

No commercial support was provided for this activity.

 

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