Banding of a patent arterial duct to palliate complete transposition in a compromised neonate

In a hemodynamically compromised neonate with complete transposition and in tact ventricular septum (concordant atrioventricular and discordant ventric ulo-arterial connections), it became necessary to control severe congestive heart failure. The arterial switch operation had been delayed because of i ntracranial bleeding and subsequent coagulopathy. The cardiac failure was r eversed by surgical banding of the patent arterial duct. The arterial switc h was performed successfully one week later.