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Ann Thorac Surg 1985;40:509-511
© 1985 The Society of Thoracic Surgeons

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Articles

Repair of Corrected Transposition Associated with Ventricular Septal Defect and Pulmonary Stenosis

From the Division of Cardiovascular Surgery, Hospital de Niños and Clinica Bazterrica, Buenos Aires, Argentina

Accepted for publication February 8, 1985.

^* Address reprint requests to Dr. F. J. Vargas, Clinica Bazterrica, Juncal 3002, Buenos Aires 1425, Argentina

Five patients with the diagnosis of classically corrected transposition of the great arteries, ventricular septal defect (VSD), and pulmonary outflow tract obstruction underwent surgical repair. A variant of a previously described technique was used to avoid injury to conduction tissue. Through an incision into the anatomical left ventricle, the VSD patch was sutured inferiorly to the right and away from the edges of the defect and superiorly to the epicardial border of the ventriculotomy. The pulmonary artery was opened, and its proximal end was closed with a suture. A pouch containing the conduction tissue was therefore obtained. Pulmonary ventriculoarterial continuity was reestablished using a valved or nonvalved Dacron or pericardial conduit. The postoperative course of the patients was uneventful. No changes were demonstrated on comparison with preoperative cardiac rhythm. Good hemodynamic performance was noted in 2 patients in whom postoperative catheterization was performed.

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