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D-Transposition of The Great Arteries, The Rastelli Procedure and Its Complications: Management of a Complex Reoperation

Published:November 21, 2022DOI:https://doi.org/10.1053/j.jvca.2022.11.014
      D-Transposition of the great arteries (D-TGA) is the second most common cyanotic heart disease [1]with an incidence of 20-30 cases/100K live births, amounting to 5-7% of all congenital heart diseases[2]. Advances in surgical techniques now permit these patients to survive into adulthood and live a normal life[3]. Before the advent of the modern arterial switch operation and in some forms of complex D-TGA in the current era, these patients commonly undergo multiple surgeries and subsequent revisions due to anatomic limitations of these complex surgical procedures. Multimodality imaging, including echocardiography is crucial in understanding the anatomy and pathophysiology of the disease, planning surgically corrective procedures, and assessing associated surgical complications.[1-4] This case illustrates the successful management of a complex reoperation for complications after a Rastelli procedure (RP) in a patient with complex D-TGA.

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