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Ann Thorac Surg 2003;75:1012-1014
© 2003 The Society of Thoracic Surgeons


Case report

Anatomic correction for corrected transposition after pulmonary unifocalization

Makoto Ando, MDa, Brian W. Duncan, MDa, Roger B.B. Mee, MB, ChB, FRACSa*

a Department of Pediatric and Congenital Heart Surgery, The Children’s Hospital at The Cleveland Clinic, Cleveland, Ohio, USA

Accepted for publication August 29, 2002.

* Address reprint requests to Dr Mee, Department of Pediatric and Congenital Heart Surgery, M-41 The Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44195, USA
e-mail: meer{at}ccf.org

A Senning plus Rastelli operation was performed in a patient who had a rare combination of congenitally corrected transposition of the great arteries (S,L,L) with dextrocardia, major aortopulmonary collaterals, and diminutive central pulmonary arteries with arborization defects. The patient required four preparatory operations including bilateral unifocalizations of the aortopulmonary artery collaterals. Pulmonary artery to systemic pressure ratio after the double switch operation was 0.6. The patient demonstrates good biventricular function on echocardiogram at 3 months after the operation.




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