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Ann Thorac Surg 1994;58:231-233
© 1994 The Society of Thoracic Surgeons
Departments of Cardiovascular Surgery and Pediatric Cardiology, Heart Institute, Kenritsu Amagasaki Hospital, Amagasaki, Japan
Accepted for publication October 25, 1993.
* Address reprint requests to Dr Matsuno, Emergency Medicine, Shiga University of Medical Science, Seta Tsukinowa-cho, Otsu 520-21, Japan.
We report a successful modification of the Damus-Kaye-Stanael operation for transposition of the great arteries when the coronary arteries are unsuitable for transfer. The procedure includes creation of a neoaorta with end-to-end anastomosis of the proximal pulmonary artery to the distal ascending aorta and creation of an aortopulmonary window between the proximal great arteries. A valved conduit is interposed between the right ventricle and the distal pulmonary artery.
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