Congenital heart diseaseCohort study

Long-Term Electrophysiologic Comorbidities After Anatomically Repaired Congenitally Corrected Transposition of the Great Arteries

JACC Clin ElectrophysiolPublished

  • retrospective cohort study
  • single center

Authors' conclusion

Patients who underwent AR are at significant risk for developing AT, even within a short timeframe after the index surgery, with increasing incidence over time. The need for atrioventricular valve reintervention after AR increases the risk of AT.

Study context

Population
Patients who underwent anatomic repair for ccTGA between 1993 and 2017cohort
Participants
85 patients
Exposure
Need for atrioventricular valve reintervention and risk of atrial tachyarrhythmia (AT)

Main finding

As reported in the abstract

At least one significant atrial tachyarrhythmia (AT) · median follow-up of 10.6 years

Cohort with at least one significant AT

28% (24/85)

Median onset time after anatomic repair (AR)

9.0 years

Observational data: associations, not effects.

Further findings

Long-term risk of AT with need for atrioventricular valve reintervention

ComparisonHR (95% CI)P value
atrioventricular valve reintervention · increased risk of AT4.4 (1.4–13.8)P = 0.01

AT burden

The majority of patients who experienced AT had a low disease burden

Original publication

Long-Term Electrophysiologic Comorbidities After Anatomically Repaired Congenitally Corrected Transposition of the Great Arteries. JACC Clin Electrophysiol. Published 13 August 2026. doi:10.1016/j.jacep.2026.06.019

Summarised from the published abstract; every number is checked against it