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Ann Thorac Surg 1973;16:458-463
© 1973 The Society of Thoracic Surgeons

Articles

Toward a Rational Operation for Transposition of the Great Arteries

C.E. Anagnostopoulos, M.D.*,*, C.L. Athanasuleas, A.B., R.A. Arcilla, M.D.

Divisions of Thoracic and Cardiovascular Surgery and Pediatric Cardiology, University of Chicago, Chicago, Ill

Accepted for publication June 28, 1973.

* Address reprint requests to Dr. Anagnostopoulos, Department of Surgery, University of Chicago Hospitals, 950 E. 59th St., Chicago, Ill. 60637

Current methods for physiological correction of transposition of the great arteries are well established. Continuing morbidity is associated with them, however. The development of hypothermic open-heart surgery and the perfection of microsurgical techniques coupled with our observations of favorable coronary anatomy in many patients with transposition lead us to suggest that the time is ripe for attempts at complete anatomical correction. Our experimental background and several alternatives are suggested.




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