Combined atrial and arterial switch procedure for congenital corrected transposition with XXXX .

@entity1 @entity1757 @entity997 @entity67 @entity616
OBJECTIVES: A combined atrial and arterial switch procedure was performed in selected @entity1 with congenitally corrected transposition to establish the morphological left ventricle as the systemic ventricle. Immediate and early follow up results are presented. BACKGROUND: Progressive @entity67 and @entity997 are common in @entity1 with congenitally corrected transposition who undergo repair of associated lesions. A surgical procedure which re-establishes the left ventricle as the systemic ventricle should improve functional results. METHODS: Four symptomatic @entity1 aged from 9 months to 3 years 1 month (mean 2 years 3 months) with congenitally corrected transposition and @entity1757 underwent both an atrial and arterial switch procedure and were followed up for a mean of 12 months (range 6-21 months). RESULTS: There were no early or late deaths. @entity616 worsened in two @entity1 . Hospital stay ranged from 8 to 17 days (mean 13 days). The cardiothoracic ratio decreased from a mean (range) of 0.65 (0.6 to 0.71) to 0.58 (0.52 to 0.6). Currently, three @entity1 are in functional class I and one @entity1 is in functional class II. CONCLUSIONS: The combination of an atrial and an arterial switch procedure in symptomatic @entity1 with congenitally corrected transposition establishes the left ventricle as the systemic ventricle. The initial experience is encouraging with excellent immediate and early follow up results.
