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The hemi-Mustard, bi-directional Glenn, and Rastelli operations used for correction of congenitally corrected transposition, achieving a “ventricle and a half ” repair

  • Daniel J. DiBardino (a1), Jeffrey S. Heinle (a1) and Charles D. Fraser (a1)


Based on experience in several centers, the double switch operation has reportedly become the standard surgical therapy for congenitally corrected transposition. We report and discuss here the use of a “ventricle and a half” double switch operation performed due to the concerns raised intraoperatively because of the size of the morphologically right ventricle. Although the long-term course of such a procedure in this setting remains unknown, we submit that the proposed benefits of the double switch operation, even when used in the “ventricle and a half” configuration, may be superior to the alternatives.


Corresponding author

Correspondence to: Daniel DiBardino MD, Congenital Heart Surgery, Texas Children's Hospital, 6621 Fannin Street, MC WT 19345H, Houston, TX 77030, USA. Tel: +1 832 826 1929; Fax: +1 832 825 1905; E-mail:


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