The hemi-Mustard, bi-directional Glenn, and Rastelli operations used for correction of congenitally corrected transposition, achieving a "ventricle and a half " repair.
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.
DiBardino
Daniel J
DJ
Michael E. DeBakey Department of Surgery, Division of Congenital Heart Surgery, Baylor College of Medicine, Houston, TX, USA. djd@bcm.tmc.edu
Heinle
Jeffrey S
JS
Fraser
Charles D
CD
D000293:Adolescent; D006348:Cardiac Surgical Procedures; D006345:Heart Septal Defects, Ventricular / Q000601:surgery; D006801:Humans; D008297:Male; D014188:Transposition of Great Vessels / Q000601:surgery*