RASTELLI PROCEDURE FOR REPAIR OF TRANSPOSITION OF THE GREAT-ARTERIES (S, D, L) COMPLEX

Transposition of the great arteries with {S, D, L} segmental anatomy i s a rare complex congenital heart lesion. The morphologic features of this unusual disease make surgical repair more challenging than in {S, D, D} transposition. Here reported is the experience with the surgica l treatment of this pathologic condition in 2 patients presenting with significant associated anomalies of the right side of the heart and p ulmonary outflow tract. Relevance of the specific anatomic features of the transposition {S, D, L} complex is reviewed in terms of feasibili ty of biventricular repair using the Rastelli operation. (C) 1997 by T he Society of Thoracic Surgeons.