ATLAS DE PATOLOGÍA FORENSE Infarto cerebral isquémico en el postoperatorio inmediato de una transposición de grandes vasos en una niña de 5 meses y medio. Ischemic stroke in the early postoperative period of a transposition of great arteries in a 5 and a half months female infant.

Transposition of the Great Arteries (TGA) with intact ventricular septum is a congenital heart disease characterized by ventricle-arterial discordance and atriaventricle concordance. Cyanosis is common in patients with TGA because there is no mixing between systemic and pulmonary circulations through a ventricular septal defect and systemic oxygenation is not possible. We report the case of a 5 months and 15 days old female infant who was diagnosed with TGA with intact septum. Balloon atrial septostomy and “retraining” of left ventricle by pulmonary artery banding and subclavianpulmonary artery shunt were necessary to be performed before anatomical correction by arterial switch. Nevertheless, she died 8 days after admission due to an ischemic stroke.