We performed a combined atrial (Mustard) and ventricular (Rastelli) repair
on a previously palliated patient with situs inversus, atrioventricular dis
cordance, ventricular septal defect, and pulmonary atresia. The suitability
and durability of this operative strategy is supported by the satisfactory
hemodynamic and functional status of the patient 10 years later. (C) 1999
by The Society of Thoracic Surgeons.