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Ann Thorac Surg 2001;71:1684-1686
© 2001 The Society of Thoracic Surgeons

Case report

Fenestrated arterial switch operation: surgical approach to an unusual transposition of the great arteries complex

Carmelo Mignosa, MDb, Vincenzo Duca, MDc, Innocenzo Bianca, MDa, Dario Salvo, MDb, Giuseppe Ferlazzo, MDa,b,c, Mauro Abbate, MDa,b,c

a Division of Cardiac Surgery, Vittorio Emanuele II, Ferrarotto, S. Bambino Hospital, Catania, Italy
b School of Cardiac Surgery, University of Catania, Catania, USA
c Neonatal Intensive Therapy Unit, V. Cervello Hospital, Palermo, Italy

Accepted for publication June 3, 2000.

Address reprint requests to Dr Mignosa, Divisione di Cardiochirurgia Azienda Ospedali Vittorio Emanuele, Ferrarotto, S. Bambino, Via S. Citelli, 95100 Catania, Italy
e-mail: mignosa{at}ctonline.it

Transposition of the great arteries with intact ventricular septum and aortopulmonary window is an extremely rare anatomic combination, having been reported just twice previously. Other authors performed a physiologic repair, because the combination was considered unsuitable for an anatomic repair. We describe the case of a 26-day-old baby with such anatomy who was successfully treated with an arterial switch operation. A 4 mm fenestration at atrial level was made for a smoother postoperative course.






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