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Surgical management of transposition with ventricular septal defect and obstruction to the left ventricular outflow tract

  • Victor O. Morell (a1), Jeffrey P. Jacobs (a2) and James A. Quintessenza (a2)


The arterial switch operation has become the preferred surgical procedure for the management of simple and complex transposition, defined on the basis of concordant atrioventricular but discordant ventriculo-arterial connections, with excellent results over the short-term, and thus far over the long-term. When transposition is associated with a ventricular septal defect, and there is additional obstruction within the left ventricular outflow tract, the complexity of the surgical repair is increased, and the surgical options are not as attractive.


Corresponding author

Correspondence to: Victor O. Morell MD, Division of Cardiothoracic Surgery, Children's Hospital of Pittsburgh, Room 2820, 3705 Fifth Avenue, Pittsburgh, PA 15213, USA. Tel: +1 412 692 5218; Fax: +1 412 692 5817; E-mail:


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