Current mid-term outcome with an integrated surgical strategy for correction of d-transposition of the great arteries with ventricular septal defect and left ventricular outflow tract obstruction

This retrospective monocenter analysis compares 30 patients with intraventricular rerouting and 29 patients with repair on arterial level for transposition of the great arteries associated with ventricular septal defect and left ventricular outflow tract (LVOT) obstruction. The strategy was chosen according to the individual anatomical situation. Freedom from reoperations on the right ventricular outflow tract was lower for patients with intraventricular rerouting whereas survival at 5, 10 and 15 years and LVOT reoperation rates were similar for both groups.