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Ann Thorac Surg 1983;35:288-293
© 1983 The Society of Thoracic Surgeons
From the Divisions of Cardiothoracic Surgery and Cardiology, University of North Carolina School of Medicine, Chapel Hill, NC, and the Department of Paediatrics, Cardiothoracic Institute, Brompton Hospital, London
Accepted for publication February 12, 1982.
Left ventricular outflow tract obstruction is a particularly vexing problem in patients with complete transposition (atrioventricular concordance and ventriculoarterial discordance) and intact ventricular septum. Previous techniques, such as resecting the obstructive lesion through the pulmonary valve or bypassing the obstruction, have not given entirely satisfactory results. An alternative approach of resection through the left atrium and the retracted mitral valve has recently been proposed. We have used this new technique to achieve excellent relief of this condition in three patients with different types of obstruction.
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