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Ann Thorac Surg 1994;57:1655-1656
© 1994 The Society of Thoracic Surgeons
Departments of Paediatric Cardiology and Cardiac Surgery, Royal Brompton National Heart and Lung Hospital, London, England
Accepted for publication October 12, 1993.
* Address reprint requests to Mr Lincoln, Department of Cardiac Surgery, Royal Brompton National Heart and Lung Hospital Sydney St, London SW3 6NP, England.
Pulmonary artery banding and arterial switch operation as a two-stage approach have offered a surgical solution to the failing right ventricle after intraatrial repair of the transposition of the great arteries. Banding of the pulmonary artery increases the resistance to the left ventricular output and, therefore, "prepares" the left ventricle for supporting the systemic circulation and arterial switch operation. We report a case of anatomic correction for transposition of the great arteries after intraatrial repair (Mustard's operation) in which the left ventricle was retrained serendipitously as a consequence of pulmonary venous obstruction complicating Mustard's procedure.
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