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Transposition of the Great Arteries

Diagnosis

When TGA is suspected, the diagnosis is confirmed with an echocardiogram (echo). This imaging test uses sound waves to create an image of the heart. The physician may also order additional advanced cardiovascular imaging or tests.

A chest X-ray takes pictures of your heart, lungs and arteries and can reveal signs of heart disease, such as enlarged areas or calcium deposits in your heart and fluid in your lungs.

An echocardiogram, or echo, records heart activity using high-frequency sound waves, or ultrasound. A technologist called a sonographer conducts this test by applying gel to your chest that makes it easier for sound waves to reach your heart. The sonographer will then wave a transducer across your chest to send sound waves to your heart. The echo created by those waves is translated into images of your heart as it beats.

An electrocardiogram (EKG or ECG) provides information about your heart’s electrical activity, and can help your provider understand your heart rate and whether you have an arrhythmia. Alternatively, your provider might ask you to wear a monitor for a day or two to record how well your heart’s circuitry is working.

Cardiac magnetic resonance imaging (MRI) uses magnets to create detailed images of the heart’s structure and show blood flow and heart valve function. Using cardiac MRI, your physician can diagnose heart valve disease by evaluating leaky or narrowed valves.

A stress test measures certain indicators of heart health while stressing your heart through exercise or medications. Certain heart conditions are easier to diagnose when your heart is under stress, and a stress test gets your heart beating hard under controlled conditions.

During a cardiac catheterization, a thin tube called a catheter is maneuvered from an opening in the groin to the heart. The catheter can measure pressure and blood flow. Some types of heart problems can be repaired from within the blood vessels during a cardiac catheterization procedure.