The Forgotten Ventricle: Sub-Pulmonary LV Failure in a Patient with Transposition of the Great Arteries Post Atrial Switch Repair

Review Data

Q: Is the topic relevant to the journal's area of interest? Is it contemporary and interesting for

researchers?

A: Good

Abstract & Keywords

Q: Are all required components included in the abstract? Are the keywords appropriately chosen?

A: Good

Goal

Q: Is the goal explicitly stated in the Introduction? Is its formulation clear and unambiguous?

A: Good

Structure

Q: Is the paper's structure coherent? Is it in coherence with the goal of the paper?

A: Good

Tools and Methods

Q: Are the methods the author uses adequate and well used?

A: Good

Discussion & Conclusion

Q: Is it related to the results presented before? Do you consider them as coherent?

A: Good

Comments: The Discussion illustrates the frequency of systemic RV failure and the development of TR among adult patients. Further, the Discussion gives an overview of the transposition of the great arteries (TGA), providing relevant literature. The Conclusion underlines the rarity of the occurrence of a large apical thrombus in a failing, dilating sub-pulmonary LV secondary to the development of PH after mustard repair presenting with decompensated HF. Lastly, the manuscript discussed the challenges of early identification of HF in adult congenital heart disease (ACHD) patients and suggested adoption of a holistic approach towards its management.

Literature

Q: Does the author utilize relevant literature?

A: Good

Author's knowledge

Q: What is the level of the author’s knowledge? Does the author utilize all recent contributions relevant to the topic?

A: Good

Length

Q: Is the paper's length adequate to the topic's significance? Do you suggest shortening the paper without losing its value?

A: Good

Figures & Tables

Q: Does the author use them suitably? Are legend and notations clear?

A: Good

Writing style

Q: Is it clear and understandable?

A: Good

Further comments on the paper

Comments: The manuscript presents a case of a 48-year-old male with transposition of the great arteries (TGA) post arterial switch repair with a failing sub-pulmonary left ventricle. The case identifies the importance of the early identification of a failing sub-pulmonary LV and the significance of utilizing multi-modality imaging in diagnosing and monitoring these patients. Further, the case report discussed the significance of a holistic approach in the management of patients with complex physical and psychological needs.

Q: Would you recommend this manuscript for further publication?

A: Yes - Suitable to be published

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Science Repository Team